JOSHA O'DELL FNP-BC
NPI 1497139919
Nurse Practitioner - Family in South Charleston, WV

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 306-3053(304) 306-3054 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2021, Jan 8, 2021 (2 updates tracked since 2021).

About Josha O'dell Fnp-bc NPPES

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

JOSHA O'DELL FNP-BC (NPI 1497139919) is an individual family provider in South Charleston, West Virginia, licensed in West Virginia (APRN83610) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497139919
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSHA O'DELLCredential: FNP-BC
Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 414-4800
Fax(304) 306-3054
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 14, 2015
Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
NPI 1497139919 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
License Licensed in WV · APRN83610
4605 MACCORKLE AVE SW, South Charleston, WV 25309

Secondary Practice Locations 2

Location 1333 Laidley StCharleston, WV 25301-1614 · Phone (304) 347-6773 · Fax (304) 347-6848
Location 26A Bank StNitro, WV 25143-1708 · Phone (304) 306-3058 · Fax (304) 306-3059

Accepted 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

Josha O'dell Fnp-bc 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 ID1658680913
PECOS Enrollment IDI20151027003115
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 2

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.
99 services95 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
22%148 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%312 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
12%244 patients1/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
1%96 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
91%110 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
12%110 patients1/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Registered Nurse (Perinatal)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physical Therapist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Physician Assistant (Surgical)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Family Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309

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 Josha O'dell's NPI number?

The NPI number for Josha O'dell is 1497139919. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Josha O'dell located?

Josha O'dell practices at 4605 Maccorkle Ave SW, South Charleston, WV 25309. The listed phone number is (304) 306-3053.

What is Josha O'dell's specialty?

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

Is Josha O'dell enrolled in Medicare?

Yes. Josha O'dell 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 Josha O'dell accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Josha O'dell 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 Josha O'dell was last updated on December 30, 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.