JAZZRIEL LE CLARK-CASTO NP
NPI 1497500730
Nurse Practitioner - Family in Bridgeport, WV

Q: What is Jazzriel Clark-casto's NPI number?

The NPI number for Jazzriel Clark-casto is 1497500730. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Q: What is Jazzriel Clark-casto's specialty?

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

Active since April 19, 2024PECOS EnrolledAccepts Medicare Assignment

527 MEDICAL PARK DR STE 205, BRIDGEPORT, WV 26330(681) 342-3730 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jazzriel Le Clark-casto Np NPPES

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

JAZZRIEL LE CLARK-CASTO NP (NPI 1497500730) is an individual family provider in Bridgeport, West Virginia, licensed in West Virginia (107200) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1497500730

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAZZRIEL LE CLARK-CASTOCredential: NP

Location Address527 MEDICAL PARK DR STE 205Bridgeport, WV 26330-9009

Mailing Address527 Medical Park Dr Ste 205Bridgeport, WV 26330-9009

Phone(681) 342-3730

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 19, 2024

Last NPPES UpdateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1497500730 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 · 107200

527 MEDICAL PARK DR STE 205, Bridgeport, WV 26330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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

Jazzriel Le Clark-casto Np 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 ID9032550322

PECOS Enrollment IDI20240517001236

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

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 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.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Broaddus Hospital Association, Inc

Critical Access Hospitals · Philippi, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511300

Location1 Healthcare Drive Mansfield HillPhilippi, WV 26416 · Barbour County

Emergency services

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511322

Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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.

Other Providers at the Same Location NPPES 5

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

DR. ADAM J HANSEN M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)