Active NPI
Jeremy Abraham Schreiber, APRN, PMHNP- BC
- Psychiatric/Mental Health Nurse Practitioner
- Wheeling, WV
National Provider Identifier
1508234147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 107800
- Practice address
- 12 Elm Ter
Wheeling, WV 26003-5064 - Phone
- (304) 905-8695
- NPI assigned
- Sep 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 107800 | WV | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 18054-NP | OH |
Addresses
Primary practice location
12 Elm Ter
Wheeling, WV 26003-5064
Mailing address
203 Boggs Hill Rd
Wheeling, WV 26003-9100
Phone (304) 374-5603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Elm Ter
Wheeling, WV 26003-5064
Phone (304) 374-5603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18054-NP | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Professional Services, Inc. | Current | Accepting new patients | |
| Enlighten Health Care, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875
740 N 6th Ave
Steubenville, OH 43952
Phone (740) 996-7100
12 Elm Ter
Wheeling, WV 26003
Phone (304) 374-5603
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wheeling, WV
- NPI 1659030864
-
- Mental Health Counselor
- Kent, OH
- NPI 1982637633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1508234147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 BOGGS HILL RD",
"city": "WHEELING",
"state": "WV",
"postal_code": "260039100",
"telephone_number": "304-374-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 ELM TER",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035064",
"telephone_number": "304-905-8695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBER",
"first_name": "JEREMY",
"middle_name": "ABRAHAM",
"credential": "APRN, PMHNP- BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WV",
"license": "107800",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "18054-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.