Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Jo Collie, FNPC

Individual provider Family Nurse Practitioner · NPI 1558451187

Mrs. Mary Jo Collie, FNPC is a Nurse Practitioner in Bastian, Virginia. Qualified in 2003, 23 years ago. Practices with Bland County Medical Clinic Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
23
Licensed in
VA, WV
In the registry since
2006
Specialties on file
2

Practice location Address checks out

12301 Grapefield Rd
Bastian, VA 24314-4547
Phone: (276) 688-4331
Fax: (276) 688-4336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024165860 (VA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 55352 (WV)

Record details

NPI number1558451187
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNPC
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESFebruary 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Bland County Medical Clinic Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bastian