1. Home
  2. Directory
  3. West Virginia
  4. Buckhannon
  5. Nurse Practitioner
  6. NPI Profile

JESSICA MONGOLD FNP-C
NPI 1730777970
Nurse Practitioner - Family in Buckhannon, WV

Active since January 04, 2021PECOS Enrolled
21 AUCTION LN STE A, BUCKHANNON, WV 26201(304) 472-6041 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2022, Aug 4, 2021, Apr 8, 2021 and 2 more (5 updates tracked since 2021).

About Jessica Mongold Fnp-c NPPES

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

JESSICA MONGOLD FNP-C (NPI 1730777970) is an individual family provider in Buckhannon, West Virginia, licensed in West Virginia (108062) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730777970
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA MONGOLDCredential: FNP-C
Location Address21 AUCTION LN STE ABuckhannon, WV 26201-8968
Mailing Address21 Auction Ln Ste ABuckhannon, WV 26201-8968
Phone(304) 472-6041
Sole ProprietorNo
Enumeration DateJanuary 4, 2021
Last NPPES UpdateApril 6, 20225 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1730777970 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 · 108062
21 AUCTION LN STE A, Buckhannon, WV 26201
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Mongold Fnp-c 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

3

Medicare enrollment records show Jessica Mongold reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mongold Medical Services LLC
1.9 mi
Family
1 BOBCAT LN
Buckhannon, WV 26201
  • Reassigned Medicare billing, West Virginia enrollment
NPI 1114887825 (681) 251-8135
Grant Memorial Hospital Inc
60 mi
Critical Access
117 HOSPITAL DR
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 86 clinicians in this Medicare group
NPI 1013603919 (304) 257-1026
Signify Health Medical Associates, PLLC
1,018 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, West Virginia enrollment
  • 228 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26201 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.

DR. LAWANNA MARIE STARKS MD
Pediatrics
21 AUCTION LN STE A
BUCKHANNON, WV 26201
Upshur County (304) 473-2305

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 Jessica Mongold's NPI number?

The NPI number for Jessica Mongold is 1730777970. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Where is Jessica Mongold located?

Jessica Mongold practices at 21 Auction Ln Ste A, Buckhannon, WV 26201. The listed phone number is (304) 472-6041.

What is Jessica Mongold's specialty?

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

Is Jessica Mongold enrolled in Medicare?

Yes. Jessica Mongold is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Mongold's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Mongold reassigns Medicare benefits to 3 organizations: Mongold Medical Services LLC (Buckhannon, WV), Grant Memorial Hospital Inc (Petersburg, WV) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Jessica Mongold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Mongold accept?

Health plans from CareSource, CareSource (Common Ground Healthcare) and Highmark Blue Cross Blue Shield West Virginia list Jessica Mongold 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 Jessica Mongold was last updated on April 6, 2022. 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.