Shirley Simmons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1043 Issued in WV

Practice address

120 Professional PL Ste 101
Bridgeport, WV 26330-4599

Phone

(304) 513-3495

NPI assigned

Jul 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Shirley Hickman Former name

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

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grandw IncGroup PAC ID 9739324922, 93 clinicians

Mon Health Marion Neighborhood Hospital, Inc.Group PAC ID 3476943101, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mon Health Marion Hospital, Whitehall, WV, CCN 510093

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 and National Provider Directory roles.

• Mon Health Marion Neighborhood Hospital, Inc.

  • Hospitalist Physician
  • White Hall, WV
  • NPI 1417521337
  Medicare reassignment Care Compare group NPD
• Monongalia County General Hospital Company

  • Specialist
  • Morgantown, WV
  • NPI 1447673223
  Medicare reassignment NPD
• Stonewall Jackson Memorial Hospital Company

  • Rural Acute Care Hospital
  • Weston, WV
  • NPI 1477559433
  Medicare reassignment NPD
• GR&W, Inc

  • Clinical Neuropsychologist
  • Morgantown, WV
  • NPI 1407192024
  Care Compare group NPD (past)
• Stonewall Jackson Memorial Hospital Company

  • Orthopaedic Surgery Physician
  • Weston, WV
  • NPI 1922392851
  NPD
• Mon Health Marion Neighborhood Hospital, Inc.

  • General Acute Care Hospital
  • White Hall, WV
  • NPI 1508441304
  NPD (past)

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

• Mon Health Marion Neighborhood Hospital, Inc.

  • General Acute Care Hospital
  • White Hall, WV
  • NPI 1508441304
  Care Compare affiliation

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1386678035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "address_2": "MONONGALIA GENERAL HOSPITAL",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265071615",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL PL STE 101",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263304599",
            "telephone_number": "304-513-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Middletown Loop",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265548701",
            "country_code": "US",
            "telephone_number": "304-333-1150",
            "fax_number": "304-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-8000",
            "fax_number": "304-269-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 J D Anderson Dr",
            "address_2": "Monongalia General Hospital",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200 x1460",
            "fax_number": "304-598-1457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "273 Skidmore Ln",
            "address_purpose": "LOCATION",
            "city": "Sutton",
            "state": "WV",
            "postal_code": "266019272",
            "country_code": "US",
            "telephone_number": "304-765-4400",
            "fax_number": "304-765-7019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SHIRLEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01043",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C LICENSE",
            "identifier": "1043",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "HICKMAN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Todd Show, D.C.
• Emily Nicole Shreve, RD
• Tasha M Shriver, OT/RL
• Mariah Sides
• Norma E Simbra, RD. L.D.
• Kimberly Ann Simms, OTR/L
• Chelcia Meria Simons, RN
• Roberta Jo Simons
• Gobind Pratap Singh, MD
• Jo Ellen Singleton

• Physician Assistant in Bridgeport, WV
• Providers in Bridgeport, 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 Jun 2, 2026; 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.