Loretta Ann Bostic, CRNA, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

106941 Issued in WV

Practice address

661 Lick Branch Rd
Charleston, WV 25312-6761

Phone

(304) 208-0707

Fax

(855) 851-4405

NPI assigned

Oct 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, SC3 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 3

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Healthpath Medical and Psychiatric Care LLCGroup PAC ID 3870030026, 3 clinicians

Safe and Sound Anesthesia Services LLCGroup PAC ID 6204205412, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Healthpath Medical & Psychiatric Care LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
  • NPI 1609645670

  Psychiatric/Mental Health, WV

  Medicare reassignment Care Compare group NPD Authorized official
• Safe & Sound Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Beckley, WV
  • NPI 1215654553

  Nurse Anesthetist, Certified Registered, WV

  Medicare reassignment Care Compare group NPD Authorized official
• Independent Healthcare Providers Corp

  • Psychiatric/Mental Health Nurse Practitioner
  • Charleston, WV
  • NPI 1972784262

  Psychiatric/Mental Health, WV

  Medicare reassignment NPD Authorized official
• Charleston Area Medical Center, Inc.

  • General Acute Care Hospital
  • Charleston, WV
  • NPI 1124248752

  WV

  Medicare reassignment NPD
• Professional Anesthesia Service,Inc.

  • Anesthesiology Physician
  • Charleston, WV
  • NPI 1720035827

  WV

  Medicare reassignment NPD
• Summit BHC West Virginia, LLC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1801411905

  WV

  Medicare reassignment NPD
• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508

  WV

  Medicare reassignment NPD
• Coastal Healthcare Resources Inc

  • Anesthesiology Physician
  • Florence, SC
  • NPI 1467635128

  Nurse Anesthetist, Certified Registered, SC

  Medicare reassignment NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  Psychiatric/Mental Health, SC

  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, SC, WV

  Medicare reassignment NPD
• Healthpath Medical & Psychiatric Care LLC

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1699571372
  NPD Authorized official
• Summit BHC West Virginia LLC

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1427672336
  NPD

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1629068705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 LICK BRANCH RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253126761",
            "telephone_number": "304-208-0707",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 LICK BRANCH RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253126761",
            "telephone_number": "304-208-0707",
            "fax_number": "855-851-4405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Association Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253111217",
            "country_code": "US",
            "telephone_number": "304-208-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTIC",
        "first_name": "LORETTA",
        "middle_name": "ANN",
        "credential": "CRNA, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "33849",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "106941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seri Bosse, MS
• Ashley Boster
• Kayla Bostic
• Kelli Bostic
• Lauren Bostic
• Terra Bostick
• Richard Michael Botkins, PRSS
• Jerry Bott
• Patricia Bott
• Angeline Rose Bottera, MS

• All providers in Charleston, WV
• Psychiatric/Mental Health Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.