Individual provider Active NPI

Jennifer Michelle Short

  • Family Nurse Practitioner
  • Scott Depot, WV
National Provider Identifier
1437899622
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
112052 Issued in WV
Practice address
300 Corporate Center Drive
Scott Depot, WV 25560-9026
Phone
(304) 691-6800
Fax
(304) 691-6751
NPI assigned
Mar 29, 2022
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 112052 WV Primary

Addresses

Primary practice location

300 Corporate Center Drive
Scott Depot, WV 25560-9026

Mailing address

1448 10TH Avenue
Suite 304
Huntington, WV 25701-3579
Phone (304) 691-6381

Other practice location 1

202 Larry Joe Harless Drive
Larry Joe Harless Community Center
Gilbert, WV 25621
Phone (304) 691-8500

Other practice location 2

1249 15th Street
Suite 4000
Huntington, WV 25701-3663
Phone (304) 691-8500

Other practice location 3

20 Hospital Drive Medical Office Building
Logan, WV 25601-3452
Phone (304) 691-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jennifer.short@marshall.cernerdirect.com

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
I20220912001165 WV Practitioner - Nurse Practitioner 8820473804 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio Medical University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Point Pleasant Physician Billing ServicesGroup PAC ID 3375538184, 36 clinicians

Practice addresses (Care Compare)

2520 Valley Dr
PT Pleasant, WV 25550-2031
Phone 30467543401249

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112052WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Family CurrentSince Dec 2, 2024 Accepting new patients
St. Mary's Himg, LLC CurrentSince Sep 1, 2025 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Dec 2, 2024 Accepting new patients
St. Mary's Medical Management, LLC Family CurrentSince May 31, 2022 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince Dec 4, 2024 Accepting new patients
St. Mary's Medical Management, LLC CurrentSince May 31, 2022 Accepting new patients
Cabell Huntington Hospital Inc PastSince Dec 2, 2024 Accepting new patients
Ramanathan Padmanaban MD Inc Past Accepting new patients
St Marys Medical Center, Inc. PastSince Sep 1, 2025 Accepting new patients

Locations

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

3075 US Route 60
Ste D265
Huntington, WV 25705
Phone (304) 526-1234

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1249 15th St
Ste 4000
Huntington, WV 25701
Phone (304) 691-8500

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002

20 Hospital Dr
Ofc
Logan, WV 25601
Phone (304) 831-2525

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

2520 Valley Dr
Ste 113
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • Direct secure messaging: jennifer.short@pvhhealth.direct.wvhin.org
  • Direct secure messaging: jennifer.short@marshall.cernerdirect.com

Organizations & group practices 9

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 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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1437899622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVENUE",
            "address_2": "SUITE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-691-6381",
            "fax_number": "304-691-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DRIVE",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609026",
            "telephone_number": "304-691-6800",
            "fax_number": "304-691-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Larry Joe Harless Drive",
            "address_2": "Larry Joe Harless Community Center",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "WV",
            "postal_code": "25621",
            "country_code": "US",
            "telephone_number": "304-691-8500",
            "fax_number": "304-691-8510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1249 15th Street",
            "address_2": "Suite 4000",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013663",
            "country_code": "US",
            "telephone_number": "304-691-8500",
            "fax_number": "304-691-8510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hospital Drive Medical Office Building",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "WV",
            "postal_code": "256013452",
            "country_code": "US",
            "telephone_number": "304-691-8500",
            "fax_number": "304-691-8510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "112052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.short@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "300 Corporate Center Drive",
            "city": "Scott Depot",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255609026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scott Depot, WV

Sources for this page

Verify at the official NPI Registry.