Joshua James Basilone, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Washington, PA
NPI 1255089124 · NPPES record last updated Mar 10, 2022
Key facts
- NPI
- 1255089124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- SP025265 (PA)
- Practice address
- 37 Highland Ave
Washington, PA 15301-4062 - Phone
- (724) 223-1067
- NPI assigned
- Mar 10, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia University Medical Corporation
Practice addresses (Care Compare)
1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500
Hospital & facility affiliations
- West Virginia University Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220409000229 | PA | Practitioner - Nurse Practitioner | 3375939853 | Reassigns benefits to 1 organization |
| I20231215001624 | WV | Practitioner - Nurse Practitioner | 3375939853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025265 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerville Clinics, Inc | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients | |
| Centerville Clinics Inc | Current |
Accepting new patients | |
| Centerville Clinics, Inc. | Current | Accepting new patients |
Locations
1070 Old National Pike
Fredericktown, PA 15333
37 Highland Ave
Washington, PA 15301
Phone (724) 223-1067
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP025265 | PA | Yes |
Addresses
Primary practice location
37 Highland Ave
Washington, PA 15301-4062
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Other providers in Washington, PA
- Shannon Lynn Barksdale
- Laura Beth Barnes
- Barbara Barnhill
- Allison Mink Barrow
- Barry F Bartusiak
- Donna L Bassi
- Robert J Bastaich
- Kermit E Bateson
- Leslie Renee Battisti
- Suzanne Maria Bauer
All providers in Washington, PA · Family Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.