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MR. ROBERT CHARLES JONES III APRN, FNP-C
NPI 1356856108
Nurse Practitioner - Family in Benwood, WV

Active since December 01, 2017PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
108 EOFF ST, BENWOOD, WV 26031(304) 221-3014(304) 221-3015 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Aug 14, 2018, Dec 1, 2017 (3 updates tracked since 2017).

About Mr. Robert Charles Jones Iii Aprn, Fnp-c NPPES

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

MR. ROBERT CHARLES JONES III APRN, FNP-C (NPI 1356856108) is an individual family provider in Benwood, West Virginia, licensed in West Virginia (APRN78703-NP-C) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356856108
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ROBERT CHARLES JONES IIICredential: APRN, FNP-C
Location Address108 EOFF STBenwood, WV 26031-1007
Mailing Address800 Wheeling AveGlen Dale, WV 26038-1697 · (304) 845-3211
Phone(304) 221-3014
Fax(304) 221-3015
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 1, 2017
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1356856108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WV · APRN78703-NP-C✔ Licensed in OH · APRN.CNP.021899
108 EOFF ST, Benwood, WV 26031
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1215 Lafayette AveMoundsville, WV 26041-1032 · Phone (304) 843-3435
Location 2210 Fairmont Pike RdWheeling, WV 26003-1574 · Phone (304) 221-3020

Other Identifiers 1

Medicaid0285167OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert Charles Jones Iii Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507125812
PECOS Enrollment IDI20180112000950
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services109 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
27 services25 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services24 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Electrical stimulator supplies, 2 lead, per month, (e.g., tens, nmes) A4595
DME-Other DME · category DE000N
1 supplier12 claims24 services$9.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

REYNOLDS MEMORIAL HOSPITAL INC
Family Medicine
108 EOFF ST
BENWOOD, WV 26031
Marshall County (304) 221-3014

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 Robert Jones's NPI number?

The NPI number for Robert Jones is 1356856108. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Robert Jones located?

Robert Jones practices at 108 Eoff St, Benwood, WV 26031. The listed phone number is (304) 221-3014.

What is Robert Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Robert Jones enrolled in Medicare?

Yes. Robert Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Jones accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Robert Jones 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.

Is Robert Jones affiliated with any hospitals?

According to CMS data, Robert Jones is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Robert Jones was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.