Shelby Jo Coulter, NP
Individual provider Active NPI Nurse Practitioner · Wheeling, WV
NPI 1497552095 · NPPES record last updated Mar 1, 2025
Key facts
- NPI
- 1497552095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 121699 (WV)
- Practice address
- 1 Medical Park
Wheeling, WV 26003-6379 - Phone
- (304) 238-3000
- NPI assigned
- Mar 1, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wheeling Hospital Inc
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
Hospital & facility affiliations
- Wheeling Hospital, Inc
- Wetzel County Hospital
- Reynolds Memorial Hospital, Inc
- Barnesville Hospital Association, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250908000746 | WV | Practitioner - Nurse Practitioner | 1456853589 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current |
Accepting new patients | |
| Wheeling Hospital Inc | Nurse Practitioner | Current |
Accepting new patients |
| Wheeling Hospital Inc | Past | Accepting new patients |
Locations
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
20 Medical Park
Ste 201
Wheeling, WV 26003
Phone (304) 243-1412
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 121699 | WV | Yes |
Addresses
Primary practice location
1 Medical Park
Wheeling, WV 26003-6379
Mailing address
5044 Middle Grave Creek Rd
Moundsville, WV 26041-3373
Phone (304) 238-4917
Other providers in Wheeling, WV
- Elizabeth Ann Coss
- Zachary Cade Costanzo
- Stacy Lynn Costlow
- Karen Coulling
- Roberta Pamela Coulling
- Sherri L Cox-Camden
- Sheila Maureen Cox
- Katina K Coyne
- Robert John Crake
- Jenna M Crawford
All providers in Wheeling, WV · Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.