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LORETTA ANN BOSTIC CRNA, PMHNP-BC
NPI 1629068705
Nurse Practitioner - Psychiatric/Mental Health in Charleston, WV

Active since October 28, 2005PECOS Enrolled
661 LICK BRANCH RD, CHARLESTON, WV 25312(304) 208-0707(855) 851-4405 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Apr 4, 2023, Oct 27, 2022 and 3 more (6 updates tracked since 2017).

About Loretta Ann Bostic Crna, Pmhnp-bc NPPES

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

LORETTA ANN BOSTIC CRNA, PMHNP-BC (NPI 1629068705) is an individual psychiatric/mental health provider in Charleston, West Virginia, licensed in West Virginia (106941) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629068705
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLORETTA ANN BOSTICCredential: CRNA, PMHNP-BC
Location Address661 LICK BRANCH RDCharleston, WV 25312-6761
Mailing Address661 Lick Branch RdCharleston, WV 25312-6761 · (304) 208-0707 · Fax (855) 851-4405
Phone(304) 208-0707
Fax(855) 851-4405
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 23, 20246 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1629068705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WV · 106941
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 33849 (WV)
661 LICK BRANCH RD, Charleston, WV 25312
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Association DrCharleston, WV 25311-1217 · Phone (304) 208-0707

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Loretta Ann Bostic Crna, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466357280
PECOS Enrollment IDI20031204000912, I20200810000170
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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
95 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25312 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

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

INDEPENDENT HEALTHCARE PROVIDERS CORP
Nurse Practitioner (Psychiatric/Mental Health)
661 LICK BRANCH RD
CHARLESTON, WV 25312
Kanawha County (304) 208-0707

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 Loretta Bostic's NPI number?

The NPI number for Loretta Bostic is 1629068705. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Loretta Bostic located?

Loretta Bostic practices at 661 Lick Branch Rd, Charleston, WV 25312. The listed phone number is (304) 208-0707.

What is Loretta Bostic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Loretta Bostic enrolled in Medicare?

Yes. Loretta Bostic is registered in the Medicare PECOS enrollment system.

What insurance does Loretta Bostic accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Loretta Bostic 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 Loretta Bostic was last updated on July 23, 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.