Jerica Elaine Bobo, FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

107608 Issued in WV

Practice address

22347 Northwestern Pike
Romney, WV 26757-6343

Phone

(304) 822-3838

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• E.a. Hawse Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Baker, WV
  • NPI 1851359251
  Medicare reassignment NPD
• E. a. Hawse Health Center, Inc.

  • Community Health Clinic/Center
  • Moorefield, WV
  • NPI 1417437591
  NPD
• E. a. Hawse Health Center, Inc.

  dba Grant Pediatrics and Internal Medicine

  • Federally Qualified Health Center (FQHC)
  • Petersburg, WV
  • NPI 1033347414
  NPD (past)
• E.a. Hawse Health Center Inc.

  dba Hawse Health Center

  • Federally Qualified Health Center (FQHC)
  • Mathias, WV
  • NPI 1225096027
  NPD (past)

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1659979011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22347 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576343",
            "telephone_number": "304-822-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22347 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576343",
            "telephone_number": "304-822-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBO",
        "first_name": "JERICA",
        "middle_name": "ELAINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "107608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany M Bergen
• Catherine Elizabeth Biser, REGISTERED NURSE
• Isabella Grace Bittinger
• Sarah Bittinger
• Andrea Nicole Bittorie, RN
• Brooklyn Paige Boyce
• Kimberly Boyce
• Ronald L Brockett, CRNA
• Kylie Angaline Brown
• Lashonda Brown

• Primary Care Nurse Practitioner in Romney, WV
• Providers in Romney, WV by specialty
• Primary Care Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.