Addiction Wellness Center VA
NPI 1396602793ActiveOrganization· Nurse Practitioner· Front Royal, VA
Nurse Practitioner in Front Royal, Virginia, registered in NPPES in January 2026, part of Addiction Wellness Center VA. The authorized official on file is Jessie Costley, Credentialing Specialist.
Overview
| NPI | 1396602793 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Addiction Wellness Center VA |
| NPI issued | Jan 7, 2026 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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