Individual provider Active NPI

Gregory Jason Jaranko, NP-C

  • Nurse Practitioner
  • Martinsburg, WV
National Provider Identifier
1487420493
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
117824 Issued in WV
Practice address
61 Campus Dr
Martinsburg, WV 25404-7542
Phone
(304) 283-4252
NPI assigned
Nov 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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 117824 WV Primary

Addresses

Primary practice location

61 Campus Dr
Martinsburg, WV 25404-7542

Mailing address

52 Monument CT
Shepherdstown, WV 25443-4331
Phone (304) 283-4252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240313000680 WV Practitioner - Nurse Practitioner 8022454016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

61 Campus Dr
Suite 106
Martinsburg, WV 25404-7542
Phone (304) 274-2273

Hospital & facility affiliations

  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Mar 1, 2024 Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 1, 2024 Accepting new patients

Locations

912 Somerset Blvd
Ste 102
Charles Town, WV 25414
Phone (304) 725-2273

61 Campus Dr
Martinsburg, WV 25404
Phone (304) 274-6343

61 Campus Dr
Ste 106
Martinsburg, WV 25404
Phone (304) 274-2273

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

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.

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": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1487420493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MONUMENT CT",
            "city": "SHEPHERDSTOWN",
            "state": "WV",
            "postal_code": "254434331",
            "telephone_number": "304-283-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CAMPUS DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254047542",
            "telephone_number": "304-283-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARANKO",
        "first_name": "GREGORY",
        "middle_name": "JASON",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "117824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.