Stephanie Hope Jackson, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN79343-FNP-BC Issued in WV

Practice address

266 Skidmore LN
Sutton, WV 26601-9271

Phone

(304) 765-0351

Fax

(304) 765-7019

NPI assigned

Nov 8, 2013

Last updated

Aug 24, 2022By 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 WV

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

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care of West Virginia, Inc.Group PAC ID 0446232987, shared by 74 NPIs, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.jackson.1@4803.direct.athenahealth.com

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.

• Community Care of West Virginia, Inc.

  dba Community Care of Clarksburg

  • Federally Qualified Health Center (FQHC)
  • Clarksburg, WV
  • NPI 1053742668
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Little Birch Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1053821363
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba CareXpress of Weston

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1073944658
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Braxton County Middle School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1104175058
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba CareXpress of Buckhannon

  • Federally Qualified Health Center (FQHC)
  • Buckhannon, WV
  • NPI 1114277050
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Marlinton

  • Federally Qualified Health Center (FQHC)
  • Marlinton, WV
  • NPI 1164653457
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Braxton County High School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1396096863
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Davis Elementary Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Gassaway, WV
  • NPI 1447699723
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care Connections of Flatwoods

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1609042266
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Big Otter Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Duck, WV
  • NPI 1619103041
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Sutton Elementary School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1750892188
  Medicare reassignment NPD
• Community Care of West Virginia, Inc.

  dba Community Care of Flatwoods

  • Federally Qualified Health Center (FQHC)
  • Sutton, WV
  • NPI 1770917577
  Medicare reassignment NPD

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1376972422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 SKIDMORE LN",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019271",
            "telephone_number": "304-765-0351",
            "fax_number": "304-765-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 SKIDMORE LN",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019271",
            "telephone_number": "304-765-0351",
            "fax_number": "304-765-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "STEPHANIE",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN79343-FNP-BC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlee Ann Huffman
• Regina Hull
• Peggy Lou Ice
• J2 Osteopathic Medicine
• Arlene Jackson
• Jasmine Kay James
• Katie James
• Gabriella Jarrell
• Karen Sue Jarrell
• Terri Jarrell

• Nurse Practitioner in Sutton, WV
• Providers in Sutton, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.