Individual provider Active NPI

Jessica Valesko, N.P

  • Nurse Practitioner
  • Newell, WV
National Provider Identifier
1457727281
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.17770-NP Issued in OH
Practice address
1151 Washington St
Newell, WV 26050-1437
Phone
(304) 459-4010
NPI assigned
Aug 17, 2015
Last updated
Jan 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.17770-NP OH Primary

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 2

IdentifierTypeStateIssuer
0141559MedicaidOH
3810029921MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150916002738 OH Practitioner - Nurse Practitioner 0042527483 Reassigns benefits to 1 organization
I20161228002397 WV Practitioner - Nurse Practitioner 0042527483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Change IncorporatedGroup PAC ID 1759325327, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17770-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Change, Incorporated CurrentSince Oct 16, 2016 Accepting new patients
Change Incorporated PastSince Oct 16, 2016 Accepting new patients

Locations

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

200 Park Dr
Wintersville, OH 43953

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

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 2

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1457727281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 WEST ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624637",
            "telephone_number": "304-797-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 WASHINGTON ST",
            "city": "NEWELL",
            "state": "WV",
            "postal_code": "260501437",
            "telephone_number": "304-459-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALESKO",
        "first_name": "JESSICA",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.17770-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141559",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029921",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newell, WV

Sources for this page

Verify at the official NPI Registry.