Jillian T Emmerich
Individual provider Active NPI Family Nurse Practitioner · Shepherdstown, WV
NPI 1134087919 · NPPES record last updated Mar 4, 2026
Key facts
- NPI
- 1134087919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 124832 (WV)
- Practice address
- 60 Maclaine Way
Shepherdstown, WV 25443-1667 - Phone
- (304) 876-6343
- NPI assigned
- Jan 12, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Virginia University Medical Corporation
Practice addresses (Care Compare)
60 Maclaine Way
Suite a
Shepherdstown, WV 25443-1667
Phone (304) 876-6343
Hospital & facility affiliations
- Berkeley Medical Center
- Jefferson Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260324002884 | WV | Practitioner - Nurse Practitioner | 3678057080 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124832 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Hospital, Inc. | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 124832 | WV | Yes |
Addresses
Primary practice location
60 Maclaine Way
Shepherdstown, WV 25443-1667
Mailing address
60 Maclaine Way
Shepherdstown, WV 25443-1667
Phone (304) 876-6343
Other providers in Shepherdstown, WV
- Tanya Nicole Duncan
- Meghan A Dunn
- Becky Edgar
- Jillian L Ellison
- Sylvia M Ellsworth
- Brian S. Erickson
- Philip Fahnestock
- Sarina Ferguson
- Christian Franco
- Rebecca Baldwin Fuller
All providers in Shepherdstown, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.