Individual provider Active NPI

Donte Jamal Newsom, FNP-BC

  • Family Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1437568003
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN80718-FNP-BC Issued in WV
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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 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, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150121001397 WV Practitioner - Nurse Practitioner 1557685690 Reassigns benefits to 2 organizations
I20210315002825 MD Practitioner - Nurse Practitioner 1557685690 Reassigns benefits to 1 organization
I20230306001659 PA Practitioner - Nurse Practitioner 1557685690 Reassigns benefits to 1 organization

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
Allegany Imaging PCGroup PAC ID 4981591773, 10 clinicians

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 100Reported as group
Quality
99.35
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN80718-FNP-BCWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany Imaging, PC CurrentSince Feb 1, 2021 Accepting new patients
United Vascular & Vein Center PLLC CurrentSince Aug 25, 2014 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

  • Direct secure messaging: dnewsom39067@direct.wvuhsdirect.com
  • Direct secure messaging: dnewsom515865@upmc.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.