Individual provider Active NPI

Jamarcus A Hershberger

  • Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1457932329
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0031316 Issued in OH
Practice address
207D Colegate Dr
Marietta, OH 45750-2363
Phone
(740) 376-0930
Fax
(740) 376-0933
NPI assigned
Apr 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.456239 OH
Nurse Practitioner 363L00000X APRN.CNP.0031316 OH Primary

Addresses

Primary practice location

207D Colegate Dr
Marietta, OH 45750-2363

Mailing address

207D Colegate Dr
Marietta, OH 45750-2363
Phone (740) 376-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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

Enrollment IDStateProvider typePAC IDDetails
I20220615002367 OH Practitioner - Nurse Practitioner 8022497478 Reassigns benefits to 1 organization
I20230613000410 WV Practitioner - Nurse Practitioner 8022497478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Counseling and Wellness Center-Oh LLCGroup PAC ID 2668758442, 4 clinicians
Counseling and Wellness Center LLCGroup PAC ID 5395983126, 17 clinicians

Practice addresses (Care Compare)

225 Main St
Belpre, OH 45714-1691
Phone (304) 422-7300

936 Market St
Parkersburg, WV 26101-4795
Phone (304) 422-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.456239OHMDRegistered Nurse
APRN.CNP.0031316OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Wellness Center-Oh LLC CurrentSince Oct 9, 2023 Accepting new patients
Counseling and Wellness Center LLC CurrentSince Apr 25, 2023 Accepting new patients
Pfeifer Counseling, Consulting and Training LLC PastSince Apr 25, 2021 Accepting new patients

Locations

936 Market St
Parkersburg, WV 26101
Phone (304) 422-7300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1457932329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207D COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502363",
            "telephone_number": "740-376-0930",
            "fax_number": "740-376-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207D COLEGATE DR",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502363",
            "telephone_number": "740-376-0930",
            "fax_number": "740-376-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "JAMARCUS",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.456239",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.