Jessica Valesko, N.P – Nurse Practitioner

Key facts

NPI: 1457727281
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: COA.17770-NP (OH)
Practice address: 1151 Washington St
Newell, WV 26050-1437
Phone: (304) 459-4010
NPI assigned: Aug 17, 2015
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Change, Incorporated Federally Qualified Health Center (FQHC) · Weirton, WV · NPI 1245244367

Medicare reassignment Care Compare group NPD OH · WV
Change Incorporated Federally Qualified Health Center (FQHC) · Newell, WV · NPI 1174074686

NPD (past)

Hospital & facility affiliations 2

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

Weirton Medical Center, Inc General Acute Care Hospital · Weirton, WV · NPI 1619921947

Care Compare affiliation Hospital
Trinity Hospital Holding Company General Acute Care Hospital · Steubenville, OH · NPI 1285715144

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Change Incorporated (18 clinicians)

Practice addresses (Care Compare)

3136 W St
Weirton, WV 26062-4637
Phone (304) 748-2828

3158 W St
Weirton, WV 26062-4637

Hospital & facility affiliations

Weirton Medical Center, Inc Hospital · Weirton, WV · CCN 510023
Trinity Medical Ctr East &Trinity Medical Ctr West Hospital · Steubenville, OH · CCN 360211

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in OH, WV
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150916002738	OH	Practitioner - Nurse Practitioner	0042527483	Reassigns benefits to 1 organization
I20161228002397	WV	Practitioner - Nurse Practitioner	0042527483	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Change, Incorporated		Current since Oct 16, 2016	Accepting new patients
Change Incorporated		Past since Oct 16, 2016	Accepting new patients

Locations

200 Park Dr
Steubenville, OH 43953

200 Luray Dr
Wintersville, OH 43953
Phone (304) 748-2828

1151 Washington St
Newell, WV 26050
Phone (304) 459-4010

3136 West St
Weirton, WV 26062
Phone (304) 748-2828

3158 West St
Weirton, WV 26062
Phone (304) 797-7733

Interoperability endpoints

Direct secure messaging: jessica.valesko@fmcchc.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	COA.17770-NP	OH	Yes

Addresses

Primary practice location

1151 Washington St
Newell, WV 26050-1437

Mailing address

3158 West St
Weirton, WV 26062-4637
Phone (304) 797-7733

Other identifiers

Identifier	Type	State	Issuer
3810029921	Medicaid	WV
0141559	Medicaid	OH

Other providers in Newell, WV

All providers in Newell, WV · Nurse Practitioner in West Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.