Individual provider Active NPI

Jodie Holstein, FNP-C

  • Nurse Practitioner
  • Keyser, WV
National Provider Identifier
1205480431
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
103862 Issued in WV
Practice address
100 Pin Oak LN
Keyser, WV 26726-5908
Phone
(304) 597-3500
NPI assigned
Jul 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 103862 WV Primary

Addresses

Primary practice location

100 Pin Oak LN
Keyser, WV 26726-5908

Mailing address

209 Washington Ave
Nitro, WV 25143-2036
Phone (304) 400-7243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191016001379 WV Practitioner - Nurse Practitioner 6103157573 Reassigns benefits to 4 organizations
I20220421000049 MD Practitioner - Nurse Practitioner 6103157573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Feb 4, 2025 Accepting new patients
Geps Physician Group of West Virginia PC CurrentSince Feb 4, 2025 Accepting new patients
Alignmed Medical Group WV, PC CurrentSince Feb 4, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Sep 4, 2019 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Sep 4, 2019 Accepting new patients
Wellcare Inc CurrentSince Feb 5, 2024 Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients

Locations

1 Science Park
Frostburg, MD 21532
Phone (301) 729-2235

1226 National Hwy
Lavale, MD 21502
Phone (301) 709-0357

1543 Country Club Rd
Fairmont, WV 26554
Phone (304) 363-2273

840 Lee Rd
Follansbee, WV 26037
Phone (304) 527-1100

1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

80 Maddex Dr
Shepherdstown, WV 25443
Phone (304) 846-9422

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1205480431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WASHINGTON AVE",
            "city": "NITRO",
            "state": "WV",
            "postal_code": "251432036",
            "telephone_number": "304-400-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PIN OAK LN",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267265908",
            "telephone_number": "304-597-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEIN",
        "first_name": "JODIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "103862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

Verify at the official NPI Registry.