Individual provider Active NPI

Jessica Temple, CNP

  • Family Nurse Practitioner
  • Chester, WV
National Provider Identifier
1962078253
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103950 Issued in WV
Practice address
227 Lee Way
Chester, WV 26034-1817
Phone
(215) 400-1499
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028541 OH
Family Nurse Practitioner 363LF0000X 103950 WV Primary

Addresses

Primary practice location

227 Lee Way
Chester, WV 26034-1817

Mailing address

227 Lee Way
Chester, WV 26034-1817
Phone (215) 400-1499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220426000095 OH Practitioner - Nurse Practitioner 4981091758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Behavioral Health Associates, Inc. 4 clinicians

Practice addresses (Care Compare)

104 Javit CT
Youngstown, OH 44515-2439
Phone 3307974050240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0028541OHMDFamily Nurse Practitioner
103950WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Health Associates, Inc. CurrentSince Aug 21, 2023 Accepting new patients

Locations

2789 E State St
Salem, OH 44460
Phone (234) 575-0112

500 Market St
Ste 502
Steubenville, OH 43952
Phone (303) 398-2312

104 Javit Ct
Youngstown, OH 44515
Phone (330) 207-1754

Organizations & group practices 1

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": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1962078253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LEE WAY",
            "city": "CHESTER",
            "state": "WV",
            "postal_code": "260341817",
            "telephone_number": "215-400-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 LEE WAY",
            "city": "CHESTER",
            "state": "WV",
            "postal_code": "260341817",
            "telephone_number": "215-400-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLE",
        "first_name": "JESSICA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028541",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "103950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, WV

Sources for this page

Verify at the official NPI Registry.