Jacob M Short, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1310 Issued in WV

Practice address

2 Stonecrest Dr
Huntington, WV 25701-9391

Phone

(304) 525-2273

Fax

(304) 525-2165

NPI assigned

Oct 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Occumed LLCGroup PAC ID 6507864899, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jacobshort@himg.directbygreenway.com

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.

• Occumed, LLC

  • Urgent Care Clinic/Center
  • Huntington, WV
  • NPI 1639289937
  Medicare reassignment Care Compare group
• Eagle Butte Indian Health Service Hospital

  • Public Health or Welfare Agency
  • Eagle Butte, SD
  • NPI 1558395848

  TX

  Medicare reassignment
• Barboursville Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Barboursville, WV
  • NPI 1932488939
  NPD (past)
• Point Pleasant Physician Billing Services

  • Multi-Specialty Clinic/Center
  • PT Pleasant, WV
  • NPI 1396798898

  Physician Assistant

  NPD (past)
• River Valley Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Huntington, WV
  • NPI 1649384660

  Physician Assistant

  NPD (past)
• Marshall West Virginia Ed Associates, LLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1831461755
  NPD (past)

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

• Cabell Huntington Hospital Inc

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1447447503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE STE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-528-4600",
            "fax_number": "304-691-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONECREST DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257019391",
            "telephone_number": "304-525-2273",
            "fax_number": "304-525-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3075 US Route 60 Ste A105",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058859",
            "country_code": "US",
            "telephone_number": "304-528-4600 x4567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2520 Valley Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Point Pleasant",
            "state": "WV",
            "postal_code": "255502031",
            "country_code": "US",
            "telephone_number": "304-675-1244",
            "fax_number": "304-675-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JACOB",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447447503",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356376",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100109200",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacob.short@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3075 US Route 60 Ste A105",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257058859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Shoemaker
• Connie May Shoemaker
• Erin Taylor Shoop, CCC-SLP
• Mahmoud A Shorman, MD
• Ciara Short
• Katelyn Short, RN, BSN
• Lakyn Short
• Lisa Short
• Randall Edward Short
• Scarlett Short

• Physician Assistant in Huntington, WV
• Providers in Huntington, 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 8, 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.