Wendi Sue Shillingburg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

650 Issued in WV

Practice address

45 Hunt Club Dr
Ridgeley, WV 26753-7567

Phone

(304) 726-4501

Fax

(304) 726-4051

NPI assigned

Oct 11, 2006

Last updated

Jul 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, WV2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potomac Valley Hospital of W VA , IncGroup PAC ID 8123917788, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Potomac Valley Hospital of W VA , Inc

  • Emergency Medicine Physician
  • Keyser, WV
  • NPI 1316054919
  Medicare reassignment Care Compare group
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1184769952

  Physician Assistant

  Medicare reassignment NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1447976584
  Medicare reassignment
• Potomac Valley Hospital of WV, Inc.

  • Internal Medicine Physician
  • Keyser, WV
  • NPI 1578305256
  NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • McHenry, MD
  • NPI 1033978473
  NPD
• Upmc Western Maryland Health Services, LLC

  • Internal Medicine Physician
  • Cumberland, MD
  • NPI 1134844764
  NPD
• Potomac Valley Hospital of W VA, Inc

  dba Elk Garden Rural Health Clinic

  • Rural Health Clinic/Center
  • Elk Garden, WV
  • NPI 1760499016
  NPD (past)
• Western Maryland Health Care Corporation

  dba Mountain Laurel Medical Center

  • Federally Qualified Health Center (FQHC)
  • Bruceton Mills, WV
  • NPI 1679269807
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Upmc Western Maryland Corporation

  dba UPMC Western Maryland

  • Psychiatry Physician
  • Cumberland, MD
  • NPI 1285779884
  NPD (past)

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

• Potomac Valley Hospital of W VA , Inc

  • Critical Access Hospital
  • Keyser, WV
  • NPI 1912979873
  Care Compare affiliation

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1033207238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1671",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011671",
            "telephone_number": "240-964-8342",
            "fax_number": "240-964-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HUNT CLUB DR",
            "city": "RIDGELEY",
            "state": "WV",
            "postal_code": "267537567",
            "telephone_number": "304-726-4501",
            "fax_number": "304-726-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23789 Garrett Hwy",
            "address_purpose": "LOCATION",
            "city": "Mc Henry",
            "state": "MD",
            "postal_code": "215411338",
            "country_code": "US",
            "telephone_number": "240-488-4139",
            "fax_number": "240-488-4956",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Industrial Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215024331",
            "country_code": "US",
            "telephone_number": "240-964-9300",
            "fax_number": "240-964-9310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10701 New Georges Creek Rd SW",
            "address_purpose": "LOCATION",
            "city": "Frostburg",
            "state": "MD",
            "postal_code": "215321457",
            "country_code": "US",
            "telephone_number": "301-689-3229",
            "fax_number": "301-689-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHILLINGBURG",
        "first_name": "WENDI",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03062",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003062",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angella Dawn Ruth
• Carolyn Schultz
• Jessica Schultz
• Jennifer Rebecca Sell
• Robert H Sell Jr.
• Short Gap Volunteer Fire Company
• Michelle Simmons
• Kelsey Mae Smith
• Kevin Lee Smith
• Aaron Snyder, M.D.

• Physician Assistant in Ridgeley, WV
• Providers in Ridgeley, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.