Active NPI
Donte Jamal Newsom, FNP-BC
- Family Nurse Practitioner
- Bridgeport, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN80718-FNP-BC
- Practice address
- 1370 Johnson Ave Ste 202
Bridgeport, WV 26330-1378 - Phone
- (304) 842-3993
- Fax
- (304) 842-4083
- NPI assigned
- Aug 8, 2014
- Last updated
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN80718-FNP-BC | WV | Primary |
Addresses
Primary practice location
1370 Johnson Ave Ste 202
Bridgeport, WV 26330-1378
Mailing address
1370 Johnson Ave Ste 202
Bridgeport, WV 26330-1378
Phone (304) 842-3993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, MD, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (866) 369-1122
150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400
225 S Ctr Ave
Somerset, PA 15501-2033
Phone (814) 443-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 99.35
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN80718-FNP-BC | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegany Imaging, PC | Current | Accepting new patients | |
| United Vascular & Vein Center PLLC | Current | Accepting new patients |
Locations
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
12502 Willowbrook Rd
Ste 580
Cumberland, MD 21502
Phone (301) 723-4218
251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000
225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000
527 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-3600
1370 Johnson Ave
Ste 202
Bridgeport, WV 26330
Phone (304) 842-3993
527 Medical Park Dr
Ste 501
Bridgeport, WV 26330
Phone (304) 842-3993
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701
Interoperability endpoints
- dnewsom39067@direct.wvuhsdirect.com
- dnewsom515865@upmc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/GDJICD/Endpoint/GDJICD
Organizations & group practices 2
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.
-
- Vascular Surgery Physician
- Bridgeport, WV
- NPI 1730592353
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
dba Upmc Western Maryland Center for Hope and Healing
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
Hospital
-
dba UPMC Western Maryland
- General Acute Care Hospital
- Cumberland, MD
- NPI 1609831247
-
dba UPMC Western Maryland
- Hearing and Speech Clinic/Center
- Cumberland, MD
- NPI 1740969245
Hospital
-
dba UPMC Western Maryland
- Clinic/Center
- Cumberland, MD
- NPI 1780251850
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1437568003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 JOHNSON AVE STE 202",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301378",
"telephone_number": "304-842-3993",
"fax_number": "304-842-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 JOHNSON AVE STE 202",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263301378",
"telephone_number": "304-842-3993",
"fax_number": "304-842-4083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOM",
"first_name": "DONTE",
"middle_name": "JAMAL",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "APRN80718-FNP-BC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.