Individual provider Active NPI

Stewart Whitver, FNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1518448422
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402612 Issued in NY
Practice address
200 E 3Rd St
Jamestown, NY 14701-5433
Phone
(716) 661-8330
Fax
(716) 753-4230
NPI assigned
Aug 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342445 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402612 NY Primary

Addresses

Primary practice location

200 E 3Rd St
Jamestown, NY 14701-5433

Mailing address

8244 Glasgow Road on the LK
Cassadaga, NY 14718-9606
Phone (716) 680-1037

Other practice location 1

319 Central Ave
Dunkirk, NY 14048-2137
Phone (716) 363-3550

Other practice location 2

305 E Fairmount Ave
Lakewood, NY 14750-2000
Phone (716) 526-4041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stewartw@psychwebmd.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190425002200 NY Practitioner - Nurse Practitioner 9931447000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehs, IncGroup PAC ID 7618946310, 41 clinicians

Practice addresses (Care Compare)

206 S Elmwood Ave
Buffalo, NY 14201-2398
Phone 71684724411716

60 -62 Franklin Ave
Dunkirk, NY 14048-2804
Phone (716) 363-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
342445NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chautauqua - a Mun Corp CurrentSince Apr 17, 2019 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince Apr 17, 2019 Accepting new patients
Ehs, Inc. CurrentSince May 1, 2023 Accepting new patients
Jamestown Psychiatric PC Past Accepting new patients

Locations

206 S Elmwood Ave
Buffalo, NY 14201
Phone (716) 847-0212

319 Central Ave
Dunkirk, NY 14048
Phone (716) 363-3550

200 E 3rd St
Jamestown, NY 14701
Phone (716) 661-8330

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

2 Academy St
Rm 201
Mayville, NY 14757
Phone (716) 753-4104

3 N Erie St
Mayville, NY 14757

Interoperability endpoints

  • Direct secure messaging: swhitver@evergreenhs.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1518448422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8244 GLASGOW ROAD ON THE LK",
            "city": "CASSADAGA",
            "state": "NY",
            "postal_code": "147189606",
            "telephone_number": "716-680-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015433",
            "telephone_number": "716-661-8330",
            "fax_number": "716-753-4230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482137",
            "country_code": "US",
            "telephone_number": "716-363-3550",
            "fax_number": "716-753-4230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 E Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NY",
            "postal_code": "147502000",
            "country_code": "US",
            "telephone_number": "716-526-4041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITVER",
        "first_name": "STEWART",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-28",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342445",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stewartw@psychwebmd.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "305 E Fairmount Ave",
            "city": "Lakewood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147502000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.