JACKIE R STINES JR. MD
NPI 1023222197
Pediatrics - Pediatric Cardiology in Huntington, WV

Q: What is Jackie Stines's NPI number?

The NPI number for Jackie Stines is 1023222197. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Q: What is Jackie Stines's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Stines was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2007PECOS Enrolled

1600 MEDICAL CENTER DRIVE, STE 3500, HUNTINGTON, WV 25701(304) 691-1300(304) 691-1375 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jackie R Stines Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE R STINES JR. MD (NPI 1023222197) is an individual pediatric cardiology provider in Huntington, West Virginia, licensed in West Virginia (24389) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023222197

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameJACKIE R STINES JR.Credential: MD

Location Address1600 MEDICAL CENTER DRIVE, STE 3500Huntington, WV 25701

Mailing Address1600 Medical Center Drive, Ste 3500Huntington, WV 25701 · (304) 691-1300 · Fax (304) 691-1375

Phone(304) 691-1300

Fax(304) 691-1375

Sole ProprietorNo

Enumeration DateMay 9, 2007

Last NPPES UpdateDecember 9, 2021

NPPES CertifiedDecember 9, 2021

✔ NPI 1023222197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in WV · 24389

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 24389 (WV)

1600 MEDICAL CENTER DRIVE, Huntington, WV 25701

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie R Stines Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Stines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physicians & Surgeons, Inc

Same address

Internal Medicine

1600 MEDICAL CENTER DRIVE
Huntington, WV 25701

Reassigned Medicare billing, West Virginia enrollment
525 clinicians in this Medicare group

NPI 1730183286 (304) 691-8722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIDA S MAZAGRI MD

Neurological Surgery

1600 MEDICAL CENTER DRIVE, SUITE B500
HUNTINGTON, WV 25701

Cabell County (304) 691-1787

AMY LEIGH SMITH MD

Obstetrics & Gynecology

1600 MEDICAL CENTER DRIVE, SUITE 4500
HUNTINGTON, WV 25701

Cabell County (304) 691-1400

DR. JUSTIN M NOLTE MD

Psychiatry & Neurology (Neurology)

1600 MEDICAL CENTER DRIVE, SUITE B500
HUNTINGTON, WV 25701

Cabell County (304) 691-1787

MARSHALL PHARMACY INC.

Pharmacy (Clinic Pharmacy)

1600 MEDICAL CENTER DRIVE
HUNTINGTON, WV 25701

Cabell County (304) 691-6879

PATRICIA KELLY MD

Pediatrics

1600 MEDICAL CENTER DRIVE, SUITE 3500
HUNTINGTON, WV 25701

Cabell County (304) 691-1300

MR. SAIF GHISHAN MD

Student in an Organized Health Care Education/Training Program

1600 MEDICAL CENTER DRIVE
HUNTINGTON, WV 25701

Cabell County (304) 691-1824

FIASILI FITISEMANU-BARTRAM PRSS

Peer Specialist

1600 MEDICAL CENTER DRIVE
HUNTINGTON, WV 25701

Cabell County (304) 691-1100

DR. J. PAUL MUIZELAAR M.D.

Neurological Surgery

1600 MEDICAL CENTER DRIVE, SUITE B500
HUNTINGTON, WV 25701

Cabell County (304) 691-1787

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Stines's NPI number?

The NPI number for Jackie Stines is 1023222197. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Jackie Stines located?

Jackie Stines practices at 1600 Medical Center Drive Ste 3500, Huntington, WV 25701. The listed phone number is (304) 691-1300.

What is Jackie Stines's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jackie Stines enrolled in Medicare?

Yes. Jackie Stines is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Stines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Stines reassigns Medicare benefits to University Physicians & Surgeons, Inc (Huntington, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Stines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackie Stines accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Jackie Stines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Stines was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.