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MS. JUSTINA MARIE NEWTON FNP
NPI 1598354987
Nurse Practitioner - Family in Martins Ferry, OH

Active since January 11, 2021PECOS Enrolled
90 N 4TH ST, MARTINS FERRY, OH 43935(740) 633-1100 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 11, 2024, Jan 28, 2021, Jan 11, 2021 (3 updates tracked since 2021).

About Ms. Justina Marie Newton Fnp NPPES

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

MS. JUSTINA MARIE NEWTON FNP (NPI 1598354987) is an individual family provider in Martins Ferry, Ohio, licensed in Ohio (0028316) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Weirton.

NPPES Registry Identity

NPI1598354987
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JUSTINA MARIE NEWTONCredential: FNP
Location Address90 N 4TH STMartins Ferry, OH 43935-1648
Mailing Address114 Jane DrWellsburg, WV 26070-2272 · (724) 396-7385
Phone(740) 633-1100
Sole ProprietorYes
Enumeration DateJanuary 11, 2021
Last NPPES UpdateJune 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1598354987 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 OH · 0028316
90 N 4TH ST, Martins Ferry, OH 43935
Open in Google Maps ↗

Secondary Practice Location 1

Location 1218 Three Springs DrWeirton, WV 26062-3815 · Phone (304) 723-3627

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Peak Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Justina Marie Newton Fnp 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 Reassignments

2

Medicare enrollment records show Justina Newton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care, Inc. - West Virginia
1.8 mi
Urgent Care
620 NATIONAL RD, SUITE 300
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 47 clinicians in this Medicare group
NPI 1629379607 (304) 233-3624
Columbiana Emergency Physicians LLC
19 mi
Emergency Medicine
4000 JOHNSON RD
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 98 clinicians in this Medicare group
NPI 1336618628 (740) 264-8000

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

Areas of Expertise CMS Part B claims 11

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.
108 services105 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
74 services36 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.
70 services67 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
65 services63 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.
54 services54 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43935 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
3%185 patients1/55-star benchmark: 87%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%25 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,885 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%393 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%1,800 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 420 patients
Patients totalRate: 0% · 420 patients
0%420 patients5/55-star benchmark: 100%
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.

ELLIE FOSTER LPN
Licensed Practical Nurse
90 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-4418
EAST OHIO REGIONAL HOSPITAL
General Acute Care Hospital
90 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-1100
WALTER W. JONES, M.D.
Specialist
90 N 4TH ST, SUITE 22
MARTINS FERRY, OH 43935
Belmont County (740) 633-2456
EAST OHIO REGIONAL HOSP
Home Health
90 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-1100
NATHAN L. MORRIS
Licensed Vocational Nurse
90 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-1100
ALECTO HEALTHCARE SERVICES MARTINS FERRY LLC
General Acute Care Hospital
90 N 4TH ST
MARTINS FERRY, OH 43935
Belmont County (740) 633-1100
SPECTACLES ETC./WALTER W. JONES, M.D.
Eyewear Supplier
90 N 4TH ST, SUITE 23
MARTINS FERRY, OH 43935
Belmont County (740) 633-1921
MRS. KIRBY MAE FAZIO FNP-BC
Nurse Practitioner (Family)
90 N 4TH ST, SUITE 300N
MARTINS FERRY, OH 43935
Belmont County (740) 633-4765

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 Justina Newton's NPI number?

The NPI number for Justina Newton is 1598354987. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Justina Newton located?

Justina Newton practices at 90 N 4th St, Martins Ferry, OH 43935. The listed phone number is (740) 633-1100.

What is Justina Newton's specialty?

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

Is Justina Newton enrolled in Medicare?

Yes. Justina Newton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justina Newton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justina Newton reassigns Medicare benefits to 2 organizations: Urgent Care, Inc. - West Virginia (Wheeling, WV) and Columbiana Emergency Physicians LLC (Steubenville, OH). Each 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 Justina Newton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justina Newton accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance list Justina Newton 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 Justina Newton was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.