Individual provider Active NPI

Elysia L Stonem, MSN, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1407388465
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP61144182 Issued in WA
Practice address
30 Mon Health Drive
Morgantown, WV 26505-2853
Phone
(337) 991-9276
Fax
(337) 943-0846
NPI assigned
Mar 29, 2017
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5017720 NC
Acute Care Nurse Practitioner 363LA2100X 0024174282 VA
Acute Care Nurse Practitioner 363LA2100X 96841 WV
Acute Care Nurse Practitioner 363LA2100X AP61144182 WA Primary
Registered Nurse 163W00000X 0001239593 VA

Addresses

Primary practice location

30 Mon Health Drive
Morgantown, WV 26505-2853

Mailing address

14624 11TH Ave SW
Burien, WA 98166-1802
Phone (304) 413-3183

Other practice location 1

388 S Main St Ste 3
Waynesville, NC 28786-6409
Phone (828) 845-1028

Other practice location 2

302 Stone Ridge Blvd
Asheville, NC 28804-8313
Phone (828) 845-1026

Other identifiers 1

IdentifierTypeStateIssuer
2179988MedicaidWA

Other names 1

  • Elysia Lynn Cook Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NV, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210709002030 WA Practitioner - Nurse Practitioner 5698048460 Reassigns benefits to 2 organizations
I20230131001565 NV Practitioner - Internal Medicine 5698048460 Reassigns benefits to 1 organization
I20230731003579 NC Practitioner - Nurse Practitioner 5698048460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Medtriq LLCGroup PAC ID 9133348766, 6 clinicians
MayrxGroup PAC ID 9739545930, 4 clinicians
Curasive LLCGroup PAC ID 7113256124, 3 clinicians

Practice addresses (Care Compare)

2603 Bridgeport Way W
Suite F
University Place, WA 98466-4724
Phone (253) 666-6780

388 S Main St
Suite 3
Waynesville, NC 28786-6409
Phone (828) 845-1020

890 Mill St
Suite 101
Reno, NV 89502-1436
Phone (775) 470-8869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001239593VAMDRegistered Nurse
5017720NCMDAcute Care Nurse Practitioner
0024174282VAMDAcute Care Nurse Practitioner
AP61144182WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curasive LLC CurrentSince Jan 1, 2023 Accepting new patients
Mayrx CurrentSince Jun 18, 2023 Accepting new patients
Medtriq LLC CurrentSince May 12, 2022 Accepting new patients
F&M Healthcare, LLC CurrentSince Jun 1, 2022 Accepting new patients
Mayrx Recovery PastSince Feb 25, 2024 Accepting new patients

Locations

9000 Crow Canyon Rd
Ste S360
Danville, CA 94506
Phone (650) 438-8983

301 Stone Ridge Blvd
Asheville, NC 28804
Phone (828) 845-1020

302 Stone Ridge Blvd
Asheville, NC 28804
Phone (828) 845-1020

154 N Main St
Ste 1
Waynesville, NC 28786
Phone (708) 315-7113

388 S Main St
Ste 3
Waynesville, NC 28786
Phone (828) 845-1020

890 Mill St
Ste 101
Reno, NV 89502
Phone (775) 322-2731

890 Mill St
Ste 102
Reno, NV 89502
Phone (775) 322-2731

2603 Bridgeport Way W
Ste F
University Place, WA 98466
Phone (253) 564-4073

6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423

Organizations & group practices 5

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1407388465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 11TH AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981661802",
            "telephone_number": "304-413-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MON HEALTH DRIVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052853",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 S Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287866409",
            "country_code": "US",
            "telephone_number": "828-845-1028",
            "fax_number": "828-283-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Stone Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288048313",
            "country_code": "US",
            "telephone_number": "828-845-1026",
            "fax_number": "828-283-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONEM",
        "first_name": "ELYSIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSN, AG-ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5017720",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024174282",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WV",
            "license": "96841",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP61144182",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001239593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2179988",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSIA",
            "last_name": "COOK",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.