Jacquelyn Marie Kessel, MSN, APRN, FNP-C
Individual provider Active NPI Nurse Practitioner · Moorefield, WV
NPI 1497423776 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1497423776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 110096 (WV)
- Practice address
- Love Memorial Clinic
112 Kuykerdall Lane
Moorefield, WV 26836-1167 - Phone
- (305) 530-7755
- Fax
- (304) 530-7756
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- E. a. Hawse Health Center, Inc.
Practice addresses (Care Compare)
17978 State Rd
Suite 55
Baker, WV 26801-8626
Phone (304) 897-5915
Hospital & facility affiliations
- Valley Health Home Health/West Virginia
- Grant Memorial Hospital
- Hampshire Memorial Hospital
- Winchester Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in 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 |
|---|---|---|---|---|
| I20220223002616 | WV | Practitioner - Nurse Practitioner | 4183015621 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110096 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.a. Hawse Health Center Inc | Current |
Accepting new patients | |
| E. a. Hawse Health Center, Inc. | Current |
Accepting new patients | |
| E.a. Hawse Health Center Inc. | Past | Accepting new patients |
Locations
17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220
112 Kuykendall Ln
Moorefield, WV 26836
Phone (304) 530-7755
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 110096 | WV | Yes |
Addresses
Primary practice location
Love Memorial Clinic
112 Kuykerdall Lane
Moorefield, WV 26836-1167
Mailing address
Love Memorial Clinic
112 Kuykerdall Lane
Moorefield, WV 26836-1167
Phone (305) 530-7755
Other practice location 1
17978 Sr 55
Baker, WV 26801
Phone (304) 897-5915
Other providers in Moorefield, WV
- Lanny Judy
- Jason Paul Kaposy
- Sharon J Keller
- Aimee Nichole Keplinger
- Harlee Elizabeth Kern
- Jacqueline Kile
- Melissa Dawn Kitzmiller
- Shannon Propst Kontyko
- Patricia Krauskopf
- Amy Jo Kump
All providers in Moorefield, 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 Dec 14, 2023. 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.