| Bluestone Health Association, Inc. | |
|
3997 Beckley Rd Princeton WV 24740-7660 | |
| (304) 431-5499 | |
| (304) 431-3400 |
| Full Name | Bluestone Health Association, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3997 Beckley Rd, Princeton, West Virginia |
| Authorized Official Name and Position | Linda Sue Hutchens (CEO) |
| Authorized Official Contact | 3044315499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluestone Health Association, Inc. 3997 Beckley Rd Princeton WV 24740-7660 Ph: (304) 431-5499 | Bluestone Health Association, Inc. 3997 Beckley Rd Princeton WV 24740-7660 Ph: (304) 431-5499 |
| NPI Number | 1346266848 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 02/24/2021 |
| Certification Date | 02/24/2021 |
| Medicare PECOS PAC ID | 3577505221 |
|---|---|
| Medicare Enrollment ID | O20051115000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346266848 | NPI | - | NPPES |
| CD7656 | Other | WV | RR MC |
| 001706661 | Other | WV | BCBS |
| 0035334000 | Medicaid | WV | |
| 001776052 | Other | WV | BCBS |
| 0022360001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Matthew J Haag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033107016 PECOS PAC ID: 7911997903 Enrollment ID: I20050804001262 |
| Provider Name | Phillip Allen Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104882596 PECOS PAC ID: 8628075942 Enrollment ID: I20061031000016 |
| Provider Name | Brandi N Huffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306935721 PECOS PAC ID: 3072512599 Enrollment ID: I20061212000030 |
| Provider Name | William C Bird |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033108733 PECOS PAC ID: 5496852659 Enrollment ID: I20070523000072 |
| Provider Name | Ronald W Billips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881850592 PECOS PAC ID: 8224104070 Enrollment ID: I20080903000123 |
| Provider Name | Heather Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467602219 PECOS PAC ID: 4183773542 Enrollment ID: I20090514000518 |
| Provider Name | Erika Marie Lou Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629201025 PECOS PAC ID: 1759407620 Enrollment ID: I20100928001371 |
| Provider Name | Donna G Southers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104931906 PECOS PAC ID: 3476727330 Enrollment ID: I20111111000135 |
| Provider Name | Sabrina Kay Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366720047 PECOS PAC ID: 9032378690 Enrollment ID: I20120416000201 |
| Provider Name | Nicholas Samuel Muscari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548557341 PECOS PAC ID: 0244455004 Enrollment ID: I20140710002112 |
| Provider Name | Brittany Shrewsbury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154738839 PECOS PAC ID: 9830319755 Enrollment ID: I20140927000026 |
| Provider Name | Samantha Dawn Nunley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396128112 PECOS PAC ID: 8527373620 Enrollment ID: I20150819007076 |
| Provider Name | Leigh Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003299116 PECOS PAC ID: 8628379963 Enrollment ID: I20151210002282 |
| Provider Name | Angela Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134662836 PECOS PAC ID: 7911282389 Enrollment ID: I20170327001702 |
| Provider Name | Ashley Nicole Darago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750834644 PECOS PAC ID: 3173800372 Enrollment ID: I20170425001916 |
| Provider Name | Krystin Bourdua Austin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407385735 PECOS PAC ID: 0648540401 Enrollment ID: I20170727000029 |
| Provider Name | Angela Michelle Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497240774 PECOS PAC ID: 8628312048 Enrollment ID: I20181211002972 |
| Provider Name | Christa Noel Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427582568 PECOS PAC ID: 1355670613 Enrollment ID: I20190911002378 |
| Provider Name | Joe Henry Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407317191 PECOS PAC ID: 7719217371 Enrollment ID: I20190924002400 |
| Provider Name | Heather Marie-nicole Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386297901 PECOS PAC ID: 7517297807 Enrollment ID: I20190930002686 |
| Provider Name | Jessica Ann Deel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326527870 PECOS PAC ID: 0547508103 Enrollment ID: I20191002000834 |
| Provider Name | Jessica Marcus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609427350 PECOS PAC ID: 8426483975 Enrollment ID: I20200110002357 |
| Provider Name | Revonda Leigh Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932722485 PECOS PAC ID: 1456779594 Enrollment ID: I20200922001061 |
| Provider Name | Tina Lucille Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173963 PECOS PAC ID: 8527486604 Enrollment ID: I20200922002892 |
| Provider Name | Miranda E Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316312994 PECOS PAC ID: 1254751829 Enrollment ID: I20201020002601 |
| Provider Name | Brooke Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376208702 PECOS PAC ID: 3274927611 Enrollment ID: I20220228002259 |
| Provider Name | Melissa D Lucado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164160867 PECOS PAC ID: 6800279084 Enrollment ID: I20220822000846 |
| Provider Name | Shelly Denise Pack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629714761 PECOS PAC ID: 1658754767 Enrollment ID: I20220822002417 |
| Provider Name | Brittany Danielle Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104534106 PECOS PAC ID: 9830568013 Enrollment ID: I20221209001393 |
| Provider Name | Anthony Shayne Dillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326773334 PECOS PAC ID: 4789069519 Enrollment ID: I20230109000872 |
| Provider Name | Stephanie Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144982042 PECOS PAC ID: 2264803055 Enrollment ID: I20230112002662 |
| Provider Name | Susan Fawn Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275380917 PECOS PAC ID: 0244777068 Enrollment ID: I20240730000455 |
| Provider Name | Rachel Nicole Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447851167 PECOS PAC ID: 0547798928 Enrollment ID: I20250213000892 |
| Provider Name | Leah Renee Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164267118 PECOS PAC ID: 3072033075 Enrollment ID: I20250220002778 |
| Provider Name | Rebecca Riffe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306669692 PECOS PAC ID: 3072034859 Enrollment ID: I20250310001688 |
| Provider Name | Theresa Bishop |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518332006 PECOS PAC ID: 3971935271 Enrollment ID: I20250403000362 |
| Provider Name | Crystal Renee Hambrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760026934 PECOS PAC ID: 8224552484 Enrollment ID: I20250409000900 |
| Provider Name | Amy Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831909803 PECOS PAC ID: 2860917028 Enrollment ID: I20250421001182 |
| Provider Name | Bretina Hightower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386468106 PECOS PAC ID: 6507372992 Enrollment ID: I20250722004254 |
| Provider Name | Jacinda Nicole Farnsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083414957 PECOS PAC ID: 8527547181 Enrollment ID: I20260204003499 |
Bluestone Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Thorn St, Princeton, WV 24740 Phone: 681-282-5609 Fax: 304-936-6157 |
Total Life Family Practice Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 12th Street Ext, Princeton, WV 24740 Phone: 304-425-9568 Fax: 304-425-2744 |
Faith Family Helalth Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 617 Mercer St, Princeton, WV 24740 Phone: 304-887-3530 |
Princeton Family Medicine, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 Harrison St, Princeton, WV 24740 Phone: 304-431-7100 Fax: 304-431-7112 |
Midtowne Family Practice PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 12th Street Ext, Princeton, WV 24740 Phone: 304-431-9998 Fax: 304-425-0782 |
Southern Highlands Community Mental Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 12th Street Ext, Princeton, WV 24740 Phone: 304-425-9541 Fax: 681-282-5558 |