Individual provider Active NPI

Jerra Leigh Shuff, FNP-BC

  • Family Nurse Practitioner
  • Rainelle, WV
National Provider Identifier
1265705909
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
61894 Issued in WV
Practice address
645 Kanawha Ave
Rainelle, WV 25962-1013
Phone
(304) 438-6188
Fax
(304) 438-6819
NPI assigned
Feb 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 61894 WV Primary

Addresses

Primary practice location

645 Kanawha Ave
Rainelle, WV 25962-1013

Mailing address

176 Medical Center Dr
Rainelle, WV 25962-1064
Phone (304) 438-6188

Other identifiers 1

IdentifierTypeStateIssuer
3810023074MedicaidWV

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120711000597 WV Practitioner - Nurse Practitioner 4486819745 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

26737 Midland Trail
Hico, WV 25854
Phone (304) 969-8080

390 Industrial Park Rd
Maxwelton, WV 24957-8073
Phone 30443861881002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Jun 1, 2021 Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center Inc CurrentSince Apr 18, 2012 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Apr 18, 2012 Accepting new patients
Rainelle Medical Center Inc Current Accepting new patients
Rainelle Medical Center, Inc Current Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center Inc CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center, Inc. CurrentSince Dec 28, 2022 Accepting new patients
Rainelle Medical Center Inc Past Accepting new patients
Rainelle Medical Center, Inc. Past Accepting new patients

Locations

101 Railroad St
Alderson, WV 24910
Phone (304) 438-6818

2140 Jefferson St N
Ste 200
Lewisburg, WV 24901
Phone (681) 484-7042

595 Spartan Ln
Lewisburg, WV 24901
Phone (304) 645-1052

296 Fair St
Lewisburg, WV 24901
Phone (304) 647-4747

390 Industrial Park Rd
Maxwelton, WV 24957
Phone (681) 318-3610

176 Medical Center Dr
Rainelle, WV 25962

205 Medical Center Dr
Rainelle, WV 25962
Phone (304) 438-1922

128 Community Ln
White Sulphur Springs, WV 24986
Phone (304) 536-2454

Interoperability endpoints

  • Direct secure messaging: jerrashuff@rmc.allscriptsdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1265705909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MEDICAL CENTER DR",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621064",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 KANAWHA AVE",
            "city": "RAINELLE",
            "state": "WV",
            "postal_code": "259621013",
            "telephone_number": "304-438-6188",
            "fax_number": "304-438-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUFF",
        "first_name": "JERRA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "61894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810023074",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainelle, WV

Sources for this page

Verify at the official NPI Registry.