Individual provider Active NPI

John C Stapleton II, NP

  • Nurse Practitioner
  • Covington, VA
National Provider Identifier
1710348354
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024173439 Issued in VA
Practice address
919 S Craig Ave Ste a
Covington, VA 24426-1954
Phone
(540) 960-2231
Fax
(540) 960-2245
NPI assigned
Mar 10, 2016
Last updated
Apr 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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 0024173439 VA Primary

Addresses

Primary practice location

919 S Craig Ave Ste a
Covington, VA 24426-1954

Mailing address

PO Box 297
200 Pocahontas Trail
White Sulphur Springs, WV 24986-0297
Phone (304) 536-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160427002076 VA Practitioner - Nurse Practitioner 6507165412 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Virginia, LLCGroup PAC ID 1658280128, shared by 6 NPIs, 67 clinicians

Practice addresses (Care Compare)

320 W Main St
Covington, VA 24426-1517
Phone (540) 962-6226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Xpress Care LLC Nurse Practitioner CurrentSince Apr 1, 2016 Accepting new patients
Bath County Community Hospital CurrentSince Aug 1, 2018 Accepting new patients
Bath County Community Hospital CurrentSince Aug 1, 2018 Accepting new patients
Bath County Community Hospital PastSince Mar 22, 2020 Accepting new patients
Wvva Health Care Alliance, PC PastSince Apr 1, 2016 Accepting new patients
Bath County Community Hospital Past Accepting new patients

Locations

322 W Riverside St
Covington, VA 24426
Phone (540) 962-1122

713 S Monroe Ave
Covington, VA 24426
Phone (540) 962-1122

919 S Craig Ave
Ste A
Covington, VA 24426
Phone (540) 960-2231

432 Church St
Millboro, VA 24460
Phone (540) 962-5049

1100 9th St
Ste E
Vienna, WV 26105

Organizations & group practices 6

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 4

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1710348354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 297",
            "address_2": "200 POCAHONTAS TRAIL",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860297",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 S CRAIG AVE STE A",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244261954",
            "telephone_number": "540-960-2231",
            "fax_number": "540-960-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_suffix": "II",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024173439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

Verify at the official NPI Registry.