Individual provider Active NPI

Jessica Michelle Perdue, FNP

  • Family Nurse Practitioner
  • Proctorville, OH
National Provider Identifier
1285063511
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035891 Issued in OH
Practice address
347 County Road 411
Proctorville, OH 45669-9404
Phone
(740) 451-0511
Fax
(740) 451-0605
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

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 APRN.CNP.0035891 OH Primary

Addresses

Primary practice location

347 County Road 411
Proctorville, OH 45669-9404

Mailing address

347 County Road 411
Proctorville, OH 45669-9404
Phone (740) 451-0511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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
I20171205003162 WV Practitioner - Nurse Practitioner 0547527236 Reassigns benefits to 4 organizations
I20240607003459 OH Practitioner - Nurse Practitioner 0547527236 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035891OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Nov 27, 2017 Accepting new patients
Valley Health Systems, Inc. CurrentSince Nov 27, 2017 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Family CurrentSince Nov 27, 2017 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc CurrentSince Nov 27, 2017 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. Family CurrentSince Nov 27, 2017 Accepting new patients
Valley Health Systems Inc Family Current Accepting new patients
Faith Freedom Health LLC CurrentSince Apr 22, 2024 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Moses Family Medicine, Inc. PastSince Jul 1, 2006 Accepting new patients
St. Mary's Medical Management, LLC Family Past Accepting new patients

Locations

347 County Road 411
Proctorville, OH 45669
Phone (740) 451-0511

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

71 Wayne St
Fort Gay, WV 25514
Phone (304) 648-5544

1301 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 525-0572

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

85 Donohoe Dr
Huntington, WV 25705
Phone (304) 399-3310

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1285063511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 COUNTY ROAD 411",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456699404",
            "telephone_number": "740-451-0511",
            "fax_number": "740-451-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 COUNTY ROAD 411",
            "city": "PROCTORVILLE",
            "state": "OH",
            "postal_code": "456699404",
            "telephone_number": "740-451-0511",
            "fax_number": "740-451-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Proctorville, OH

Sources for this page

Verify at the official NPI Registry.