Individual provider Active NPI

Jessica Steward, CRNP

  • Family Nurse Practitioner
  • Ridgeley, WV
National Provider Identifier
1336563089
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171518 Issued in VA
Practice address
11 Hunt Club PLZ
Ridgeley, WV 26753-5213
Phone
(304) 726-4501
Fax
(304) 726-4051
NPI assigned
Feb 14, 2014
Last updated
Mar 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171518 VA Primary
Family Nurse Practitioner 363LF0000X 60850 WV

Addresses

Primary practice location

11 Hunt Club PLZ
Ridgeley, WV 26753-5213

Mailing address

11 Hunt Club PLZ
Ridgeley, WV 26753-5213
Phone (304) 726-4501

Other names 1

  • Jessica Sulser Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jsulser123042@soc.inova.org
Direct Messaging Address jsulser123042@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140613001738 VA Practitioner - Nurse Practitioner 2163646191 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60850WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Mar 16, 2019 Accepting new patients
Winchester Medical Center, Inc. CurrentSince Mar 16, 2019 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Winchester Medical Center Inc. CurrentSince Mar 21, 2017 Accepting new patients
Winchester Medical Center Current Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Nov 1, 2022 Accepting new patients
Winchester Medical Center Current Accepting new patients
Memorial Hospital and Medical Center of Cumberland, Inc. Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

173 Brockman Park Dr
Amherst, VA 24521
Phone (434) 841-2004

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1840 Amherst St
Fl 2
Winchester, VA 22601

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

380 Millwood Ave
Winchester, VA 22601
Phone (540) 667-7010

Interoperability endpoints

  • Direct secure messaging: jsteward123042@valleyhealth.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1336563089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HUNT CLUB PLZ",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267535213",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HUNT CLUB PLZ",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267535213",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "JESSICA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171518",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "60850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsulser123042@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsulser123042@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St Fl 2",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SULSER",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgeley, WV

Sources for this page

Verify at the official NPI Registry.