Individual provider

Loretta Bostic, CRNA, PMHNP-BC

Certified Registered Nurse Anesthetist Psychiatric/Mental Health Nurse Practitioner Medicare enrolled

Loretta Bostic, CRNA, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Charleston, WV, registered under NPI 1629068705. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 661 LICK BRANCH RD, Charleston, WV 25312. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

661 LICK BRANCH RD, Charleston, WV 25312 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
33849 WV Certified Registered Nurse Anesthetist
106941 WV Psychiatric/Mental Health Nurse… primary

This provider holds licence 33849 issued in WV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Certified Registered Nurse Anesthetist (crna)
PAC ID
2466357280

Enrolled in Medicare 3 times, across 2 states:

StateEnrollment IDProvider type
West Virginia I20031204000912 Practitioner - Certified Registered Nurse Anesthetist (crna)
South Carolina I20140416000573 Practitioner - Certified Registered Nurse Anesthetist (crna)
West Virginia I20200810000170 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). There are 3 separate enrolment records across 2 states (WV, SC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
367500000X Certified Registered Nurse Anesthetist 33849 WV
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 106941 WV primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1629068705 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 28, 2005
Last updatedJul 23, 2024
StatusActive
Sole proprietorNo
GenderFemale
CredentialCRNA, PMHNP-BC
Practice address 661 LICK BRANCH RD
Charleston, WV 25312
(304) 208-0707
Fax (855) 851-4405
This record was updated on Jul 23, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1629068705 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 2 9 0 6 8 7 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 4 9 0 6 7 7 0

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1629068705?
NPI 1629068705 is the National Provider Identifier assigned to Loretta Bostic, CRNA, PMHNP-BC in Charleston, WV. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Loretta Bostic, CRNA, PMHNP-BC?
The phone number on file with NPPES is (304) 208-0707, last updated Jul 23, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Loretta Bostic, CRNA, PMHNP-BC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1629068705 a valid number?
Yes. 1629068705 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.