Active NPI
Jeri Sue Thomas, CNP
- Nurse Practitioner
- Green Bank, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 43108
- Practice address
- 4914 Potomac Highlands TRL
Green Bank, WV 24944-8507 - Phone
- (681) 206-0668
- Fax
- (740) 619-7029
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 43108 | WV | Primary |
| Family Nurse Practitioner | 363LF0000X | 11090 | OH |
Addresses
Primary practice location
4914 Potomac Highlands TRL
Green Bank, WV 24944-8507
Mailing address
PO Box 134
Green Bank, WV 24944-0134
Phone (681) 206-0668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43108 | WV | MD | Nurse Practitioner |
| 11090 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mustard Seed Counseling and Behavioral Health Services LLC | Current | Accepting new patients | |
| Valeo Medical, PLLC | Current | Accepting new patients | |
| Cornerstone Medical Group of West Virginia LLC | Current | Accepting new patients | |
| Valley Health Care, Inc | Past | Accepting new patients |
Locations
428 Leon Sullivan Way
Charleston, WV 25301
Phone (304) 409-8128
4914 Potomac Highlands Trl
Green Bank, WV 24944
Phone (681) 206-7107
747 N Main St
Ste C
Moorefield, WV 26836
Phone (304) 530-8500
260 Russell Ave
North Martinsvlle, WV 26155
Phone (304) 398-4949
1100 9th St
Ste E
Vienna, WV 26105
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.
-
- Family Medicine Physician
- Green Bank, WV
- NPI 1811877442
-
- Urgent Care Clinic/Center
- New Martinsville, WV
- NPI 1407180888
-
- Psychiatric/Mental Health Nurse Practitioner
- Charleston, WV
- NPI 1114633773
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1710270954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1881920387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 134",
"city": "GREEN BANK",
"state": "WV",
"postal_code": "249440134",
"telephone_number": "681-206-0668",
"fax_number": "740-619-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4914 POTOMAC HIGHLANDS TRL",
"city": "GREEN BANK",
"state": "WV",
"postal_code": "249448507",
"telephone_number": "681-206-0668",
"fax_number": "740-619-7029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JERI",
"middle_name": "SUE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "43108",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "11090",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bank, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.