NPIMap

Individual provider Active NPI

Jessica A Stewart, PA-C

  • Emergency Medicine Physician
  • Martinsburg, WV
National Provider Identifier
1508809815
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01373 Issued in WV
Practice address
2500 Hospital Drive
Martinsburg, WV 25401
Phone
(304) 264-1000
Fax
(304) 264-1374
NPI assigned
Jun 14, 2006
Last updated
Mar 31, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002078 VA
Emergency Medicine Physician 207P00000X 01373 WV Primary

Addresses

Primary practice location

2500 Hospital Drive
Martinsburg, WV 25401

Mailing address

PO Box 1150
Martinsburg, WV 25402-1150
Phone (304) 264-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080922000133 WV Practitioner - Physician Assistant 3072531912 Reassigns benefits to 3 organizations
I20260617003545 MD Practitioner - Physician Assistant 3072531912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 Western Maryland Pkwy
Suite 106
Hagerstown, MD 21740-6474

PO Box
Morgantown, WV 26507

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1373WVMDSchool Psychologist
01373WVMDEmergency Medicine Physician
0110002078VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Fayette Physician Network Inc CurrentSince Nov 15, 2022 Accepting new patients
Clearfield Hospital Emergency Medicine Past Accepting new patients
Clearfield Hospital Past Accepting new patients
Clearfield Hospital Past Accepting new patients
City Hospital Inc Past Accepting new patients
Salutis Emergency Specialist, PLLC Emergency Medicine Past Accepting new patients

Locations

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Interoperability endpoints

  • Direct secure messaging: jstewart20212@direct.wvuhsdirect.com

Organizations & group practices 9

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 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1508809815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021150",
            "telephone_number": "304-264-1000",
            "fax_number": "304-264-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DRIVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-264-1000",
            "fax_number": "304-264-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002078",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "01373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.