Individual provider Active NPI

Jennifer Shreves, MD

  • Internal Medicine Physician
  • Fairmont, WV
National Provider Identifier
1356451702
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17953 Issued in WV
Practice address
140 Middletown Loop
Fairmont, WV 26554-8701
Phone
(304) 333-1150
Fax
(304) 333-1169
NPI assigned
Aug 30, 2006
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17953 WV Primary

Addresses

Primary practice location

140 Middletown Loop
Fairmont, WV 26554-8701

Mailing address

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1460

Other practice location 1

770 Haden Blvd
Bridgeport, WV 26330-6232
Phone (304) 848-2220

Other practice location 2

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1460

Other practice location 3

1 Hospital Plz
Grafton, WV 26354-1283
Phone (304) 265-0400

Other identifiers 1

IdentifierTypeStateIssuer
0046512000MedicaidWV

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000459 WV Practitioner - Emergency MedicinePractitioner - Internal Medicine 7012052525 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
West Virginia University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Middletown Loop
Fairmont, WV 26554-8701
Phone (304) 333-1150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grafton City Hospital Inc CurrentSince Jan 12, 2021 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Jan 1, 2017 Accepting new patients
Grafton City Hospital Inc CurrentSince Jan 12, 2021 Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. CurrentSince Jan 31, 2023 Accepting new patients
Broaddus Hospital Association, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Jan 1, 2017 Accepting new patients
West Virginia Emergency Physicians, LLP Emergency Medicine CurrentSince Feb 17, 2017 Accepting new patients
Bestpractices of West Virginia, Inc. Emergency Medicine Past Accepting new patients
4M Emergency Systems of Parkersburg, Inc Emergency Medicine Past Accepting new patients
Monongalia County General Hospital Company Internal Medicine Past Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. PastSince Apr 25, 2021 Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients

Locations

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

1 Hospital Plz
Grafton, WV 26354
Phone (304) 265-0400

1400 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-1700

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/grafton-33215f04
  • Direct secure messaging: jennifer.shreves.1@14266.direct.athenahealth.com

Organizations & group practices 12

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.

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1356451702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-598-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MIDDLETOWN LOOP",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548701",
            "telephone_number": "304-333-1150",
            "fax_number": "304-333-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Haden Blvd",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263306232",
            "country_code": "US",
            "telephone_number": "304-848-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WV",
            "postal_code": "263541283",
            "country_code": "US",
            "telephone_number": "304-265-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHREVES",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "17953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046512000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.