Katrina Ann Shires, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71558 Issued in WV

Practice address

2869 Seneca TRL S
Peterstown, WV 24963-5037

Phone

(304) 753-4336

Fax

(304) 753-5146

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

JC Edwards School of Medicine, Marshall University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
• Carilion Giles Community Hospital Hospital, Pearisburg, VA, CCN 491302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71937

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.

• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • Union, WV
  • NPI 1992734487

  WV

  Medicare reassignment NPD
• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • Union, WV
  • NPI 1174066385
  NPD
• Monroe County Health Center, Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • Peterstown, WV
  • NPI 1174725188
  NPD
• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • Peterstown, WV
  • NPI 1265975379
  NPD (past)
• Monroe Health Center-Peterstown Lab

  • Clinical Medical Laboratory
  • Peterstown, WV
  • NPI 1407072408
  NPD (past)
• Monroe County Health Center

  • General Practice Dentistry
  • New Castle, VA
  • NPI 1548582034
  NPD (past)
• Monroe County Health Center Board of Trustees

  • Federally Qualified Health Center (FQHC)
  • New Castle, VA
  • NPI 1851585046
  NPD (past)

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

• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213

  Hospital

  Care Compare affiliation
• Carilion Giles Community Hospital

  • Hospitalist Physician
  • Pearisburg, VA
  • NPI 1023663267

  Hospital

  Care Compare affiliation
• Carilion Giles Community Hospital

  • Emergency Medicine Physician
  • Pearisburg, VA
  • NPI 1164076634

  Hospital

  Care Compare affiliation
• Carilion Giles Community Hospital

  • Critical Access Hospital
  • Pearisburg, VA
  • NPI 1194718304

  Hospital

  Care Compare affiliation
• Carilion Giles Community Hospital

  • Multi-Specialty Clinic/Center
  • Pearisburg, VA
  • NPI 1346894813

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1154763282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830590",
            "telephone_number": "304-772-3065",
            "fax_number": "304-772-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 SENECA TRL S",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "249635037",
            "telephone_number": "304-753-4336",
            "fax_number": "304-753-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRES",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "71558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peterstown Pharmacy
• Peterstown Volunteer Fire and Rescue Squad Inc
• Hannah Rebekah Prontiker, PA-C
• Kimberly Dawn Rhodes, LPN
• Rhonda Gail Shelton
• Stephen Michael Miller DO
• Sunset Services LLC
• Stellisha Vance
• Amber Wallace
• Cora Walters

• All providers in Peterstown, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.