Individual provider Active NPI

Patricia Annette Stiltner, FNP-BC

  • Family Nurse Practitioner
  • Barboursville, WV
National Provider Identifier
1184975138
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57548 Issued in WV
Practice address
6475 Farmdale Rd
Barboursville, WV 25504-1321
Phone
(304) 529-7000
NPI assigned
Sep 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57548 WV Primary

Addresses

Primary practice location

6475 Farmdale Rd
Barboursville, WV 25504-1321

Mailing address

303 Courtland St
Ona, WV 25545-9430
Phone (304) 710-0011

Other practice location 1

563 State Route 34
Hurricane, WV 25526-7000
Phone (304) 757-5063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.stiltner@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721001147 WV Practitioner - Nurse Practitioner 6204052699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management 360 LLCGroup PAC ID 9830567197, 4 clinicians

Practice addresses (Care Compare)

551 21St St
Huntington, WV 25703-1540
Phone (917) 935-7788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management 360 LLC Family CurrentSince Aug 1, 2024 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Aug 15, 2022 Accepting new patients

Locations

156 Farmdale Rd
Barboursville, WV 25504
Phone (304) 529-7004

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

551 21st St
Huntington, WV 25703
Phone (917) 935-7788

Interoperability endpoints

  • Direct secure messaging: patricia.stiltner@marshall.cernerdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1184975138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 COURTLAND ST",
            "city": "ONA",
            "state": "WV",
            "postal_code": "255459430",
            "telephone_number": "304-710-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 FARMDALE RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041321",
            "telephone_number": "304-529-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "563 State Route 34",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255267000",
            "country_code": "US",
            "telephone_number": "304-757-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILTNER",
        "first_name": "PATRICIA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-29",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "57548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.stiltner@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "6475 Farmdale Rd",
            "city": "Barboursville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255041321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.