OrganizationActive
Addiction Wellness Center Va
NPI 1396602793 · Nurse Practitioner · Front Royal, VA
Provider details
- NPI number
- 1396602793
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Addiction Wellness Center Va
- Organization subpart
- Yes
- Authorized official
- Jessie Costley, Credentialing Specialist(540) 655-2936
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
824 John Marshall Hwy Ste 203
Front Royal, VA 22630-3744
Phone: (540) 655-2936
Fax: (540) 736-4371
Street-level locationGet directions
Mailing address
1100 Business Pkwy S Ste 1
Westminster, MD 21157-3048
Registry dates
- Enumerated
- 2026-01-07
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.