Active NPI
Jennifer Michelle Short
- Family Nurse Practitioner
- Scott Depot, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 112052
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112052 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc | Family | Current | Accepting new patients |
| St. Mary's Himg, LLC | Current | Accepting new patients | |
| University Physicians & Surgeons, Inc. | Current | Accepting new patients | |
| St. Mary's Medical Management, LLC | Family | Current | Accepting new patients |
| Point Pleasant Physician Billing Services | Current | Accepting new patients | |
| St. Mary's Medical Management, LLC | Current | Accepting new patients | |
| Cabell Huntington Hospital Inc | Past | Accepting new patients | |
| Ramanathan Padmanaban MD Inc | Past | Accepting new patients | |
| St Marys Medical Center, Inc. | Past | 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
- jennifer.short@pvhhealth.direct.wvhin.org
- 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.
-
- Multi-Specialty Clinic/Center
- PT Pleasant, WV
- NPI 1396798898
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1184233454
-
- Family Medicine Physician
- Huntington, WV
- NPI 1922155217
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
Family
-
- Orthopaedic Surgery Physician
- Huntington, WV
- NPI 1205596665
Family
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
-
- Home Health Agency
- Huntington, WV
- NPI 1669558904
-
- Orthopaedic Surgery Physician
- Logan, WV
- NPI 1750348389
-
dba St. Mary's Medical Center
- Internal Medicine Physician
- Huntington, WV
- NPI 1104681485
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Rivers Health
- General Acute Care Hospital
- PT Pleasant, WV
- NPI 1598975120
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.