LORETTA ANN BOSTIC (CRNA, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1629068705
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
720 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WV
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Provider Addresses for LORETTA ANN BOSTIC (CRNA, PMHNP-BC)
379, Stanaford Road, Beckley, Raleigh County, West Virginia, 25801, United States
BECKLEY, WV 258013141
Phone: (304) 208-0707
Fax: (800) 758-9795
Type: Location
Lick Branch Road, Charleston, Kanawha County, West Virginia, 25304, United States
CHARLESTON, WV 253126761
Phone: (304) 208-0707
Fax: (855) 851-4405
Type: Mailing
661 LICK BRANCH RD
CHARLESTON, WV 253126761
Phone: (304) 208-0707
Fax: (855) 851-4405
Type: Location
100 Association Dr
Charleston, WV 253111217
Phone: (304) 208-0707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $587.
Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($340).
Total Amount
$587
General + Research + Ownership
Payments
25
Total payment records
General Amount
$587
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $340 |
| Braeburn Inc. | $169 |
| Janssen Pharmaceuticals, Inc | $45 |
| Indivior Inc. | $19 |
| Alkermes, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031204000912 | I | Certified Registered Nurse Anesthetist (Crna) | WV | TBD |
| I20140416000573 | I | Certified Registered Nurse Anesthetist (Crna) | SC | TBD |
| I20200810000170 | I | Nurse Practitioner | WV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 126 | 109 | $0 |
Insurance plans in this area (ZIP 25801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN |
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