Individual provider Active NPI

Jeremy Abraham Schreiber, APRN, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1508234147
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
107800 Issued in WV
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

Updated by the provider on May 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20151119002439 OH Practitioner - Nurse Practitioner 9537469762 Reassigns benefits to 1 organization
I20211118001432 WV Practitioner - Nurse Practitioner 9537469762 Reassigns benefits to 1 organization

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
Enlighten Health Care LLCGroup PAC ID 6800289372, 7 clinicians

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

LicenseStateTypeSpecialty
18054-NPOHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Professional Services, Inc. CurrentSince Apr 25, 2016 Accepting new patients
Enlighten Health Care, LLC Psychiatric/Mental Health CurrentSince Dec 16, 2021 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.

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

Verify at the official NPI Registry.