Milissa K Short, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

43219 Issued in WV

Practice address

10003 Webster Road
Camden on Gauley, WV 26208-0069

Phone

(304) 226-5725

Fax

(304) 226-3274

NPI assigned

Apr 11, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden on Gauley Medical Center IncGroup PAC ID 6002867850, shared by 25 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Summersville, WV, CCN 517120
• Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: milissa.short@cog-wv.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1245938513
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1427585157
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1558340414
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1700312618
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ansted, WV
  • NPI 1801493499
  Medicare reassignment NPD
• Camden on Gauley Medical Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Cowen, WV
  • NPI 1639418361
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1942013487
  Medicare reassignment
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Nettie, WV
  • NPI 1174065916
  NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1215394648
  NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1508372228
  NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1558174086
  NPD
• Camden on Gauley Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Camden on Gauley, WV
  • NPI 1598749244
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Summersville, WV
  • NPI 1396971107
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1003089905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER ROAD",
            "address_2": "CAMDEN ON GAULEY MEDICAL CENTER INC",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262080069",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER ROAD",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262080069",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "MILISSA",
        "middle_name": "K",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-11",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "43219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "43219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "43219",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Philpott, APRN
• Sean Patrick Marshall Riley, NURSE PRACTITIONER
• Alisha Roach
• Crystal Rose
• Katherine Samples
• Leslie Ann Simms, LGSW
• Tricia Dawn Simpkin, FNP
• Sarah Dawn Skaggs, CNM
• Crystal Rose Taylor, APRN-BC
• David Trevorrow

• Family Nurse Practitioner in Camden on Gauley, WV
• Providers in Camden on Gauley, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.