NPIMap

Individual provider Active NPI

Shelby Lynn Georgetti, APRN

  • Family Nurse Practitioner
  • Cadiz, OH
National Provider Identifier
1396402004
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030213 Issued in OH
Practice address
951 E Market St
Cadiz, OH 43907-9799
Phone
(740) 942-4631
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 110254 WV
Family Nurse Practitioner 363LF0000X APRN.CNP.0030213 OH Primary

Addresses

Primary practice location

951 E Market St
Cadiz, OH 43907-9799

Mailing address

15 Cedar Dr
Wellsburg, WV 26070-1982
Phone (304) 794-8836

Other practice location 1

7 E Cove Ave
Wheeling, WV 26003-5083
Phone (304) 242-0770

Other names 1

  • Miss Shelby Lynn Wade Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220201001641 OH Practitioner - Nurse Practitioner 7911390612
I20220505000735 WV Practitioner - Nurse Practitioner 7911390612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wheeling Hospital Inc 433 clinicians

Practice addresses (Care Compare)

7 E Cove Ave
Wheeling, WV 26003-5083
Phone (304) 242-0770

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110254WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Community Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Belmont County Health Services Inc CurrentSince Jan 1, 2022 Accepting new patients
Wheeling Hospital Inc CurrentSince May 1, 2022 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients

Locations

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

7 E Cove Ave
Wheeling, WV 26003
Phone (304) 233-5094

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1396402004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CEDAR DR",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701982",
            "telephone_number": "304-794-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439079799",
            "telephone_number": "740-942-4631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 E Cove Ave",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260035083",
            "country_code": "US",
            "telephone_number": "304-242-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGETTI",
        "first_name": "SHELBY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "110254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "WADE",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cadiz, OH

Sources for this page

Verify at the official NPI Registry.