Jacqueline Nicole Stumbo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.022516 Issued in OH

Practice address

1408 Campbell Dr
Ironton, OH 45638-2301

Phone

(740) 534-9202

NPI assigned

Oct 23, 2014

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Ohio University, College of Osteopathic Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironton and Lawrence County Area Community Action OrganizationGroup PAC ID 8820902497, shared by 8 NPIs, 17 clinicians

Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Medical Center Hospital, Huntington, WV, CCN 510007
• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Ironton & Lawrence County Area Community Action Organization

  dba Ironton Health Care Campus

  • Federally Qualified Health Center (FQHC)
  • Ironton, OH
  • NPI 1093022287
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Chesapeake Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Chesapeake, OH
  • NPI 1215014113
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Aid Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Kitts Hill, OH
  • NPI 1770839276
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Proctorville Health Care Center

  • Federally Qualified Health Center (FQHC)
  • Proctorville, OH
  • NPI 1912254574
  Medicare reassignment NPD
• Ironton & Lawrence County Area Community Action Organization

  dba One Stop Family Medical Center

  • Primary Care Clinic/Center
  • Ironton, OH
  • NPI 1114409901
  NPD
• Ironton & Lawrence County Area Community Action Organization

  dba Nancy's Place

  • Primary Care Clinic/Center
  • Ironton, OH
  • NPI 1306461694
  NPD
• Ironton & Lawrence County Area Community Action Organization

  dba South Point Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • South Point, OH
  • NPI 1336228212
  NPD

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

• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation
• St. Mary's Medical Center Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1164492195
  Care Compare affiliation

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1275938904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456381578",
            "telephone_number": "740-532-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 CAMPBELL DR",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382301",
            "telephone_number": "740-534-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUMBO",
        "first_name": "JACQUELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Stewart
• Chassity Stiltner
• Maggie Stiltner
• Christy L. Stone, CDCA
• Rebecca Stone
• Elijah Sturgill, CT
• Karla K Sturgill, RN
• Yvonne Sturgill
• Dale Sullivan
• Virginia Mamie-Mae Sullivan

• Family Nurse Practitioner in Ironton, OH
• Providers in Ironton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.