Individual provider Active NPI

Jordan Hutchinson, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1699539668
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
105224 Issued in WV
Practice address
966 Ashton PL
Morgantown, WV 26508-6874
Phone
(301) 268-7090
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 105224 WV Primary

Addresses

Primary practice location

966 Ashton PL
Morgantown, WV 26508-6874

Mailing address

966 Ashton PL
Morgantown, WV 26508-6874

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240521000061 WV Practitioner - Nurse Practitioner 7416399662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
105224WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stonerise Services, LLC Nurse Practitioner CurrentSince Mar 17, 2024 Accepting new patients
PA Post Acute Services PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

183 Holbrook Rd
Buckhannon, WV 26201
Phone (304) 472-3280

700 Chappell Rd
Charleston, WV 25304
Phone (304) 343-1950

Organizations & group practices 2

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1699539668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 ASHTON PL",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265086874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 ASHTON PL",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265086874",
            "telephone_number": "301-268-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINSON",
        "first_name": "JORDAN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "105224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.