Active NPI
Jennifer Ann Shattahi
- Acute Care Nurse Practitioner
- Washington, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN.CNP.0034383
- Practice address
- 240 Wellness Way Ste 300
Washington, PA 15301-9697 - Phone
- (740) 792-4220
- Fax
- (740) 275-4472
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN318643 | OH | |
| Registered Nurse | 163W00000X | RN593074 | PA | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0034383 | OH | Primary |
Addresses
Primary practice location
240 Wellness Way Ste 300
Washington, PA 15301-9697
Mailing address
243 Three Springs Dr Ste 5a
Weirton, WV 26062-3839
Phone (407) 792-4220
Other practice location 1
2999 Innovation Way
Hermitage, PA 16148-7903
Phone (724) 983-1800
Other practice location 2
740 E State St
Sharon, PA 16146-3328
Phone (724) 983-1800
Other practice location 3
575 Coal Valley Rd Ste 111
Jefferson Hills, PA 15025-3723
Phone (740) 792-4220
Other practice location 4
243 Three Springs Dr Ste 5A
Weirton, WV 26062-3839
Phone (407) 792-4220
Other practice location 5
1 Medical Park # 4
Wheeling, WV 26003-6379
Phone (407) 924-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- 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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Coal Valley Rd
Suite 111
Jefferson Hills, PA 15025-3723
Phone (740) 792-4220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN318643 | OH | MD | Registered Nurse |
| RN593074 | PA | MD | Registered Nurse |
| APRN.CNP.0034383 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group Inc. | Current | Accepting new patients | |
| Steward Medical Group Inc. | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Regional Cardiac Arrhythmia Inc | Current | Accepting new patients | |
| Regional Cardiac Monitoring, Inc | Past | Accepting new patients |
Locations
9 Galen St
Watertown, MA 02472
Phone (617) 562-5413
880 W Liberty St
Hubbard, OH 44425
Phone (330) 269-1916
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
575 Coal Valley Rd
Ste 111
Jefferson Hills, PA 15025
Phone (740) 792-4220
740 E State St
Sharon, PA 16146
Phone (724) 983-1980
2999 Innovation Way
Sharon, PA 16148
Phone (724) 983-1800
740 E State St
Fl 2
Sharon, PA 16146
240 Wellness Way
Ste 300
Washington, PA 15301
Phone (724) 222-0436
951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000
243 Three Springs Dr
Ste 5A
Weirton, WV 26062
Phone (740) 792-4220
1 Medical Park
#4
Wheeling, WV 26003
Phone (407) 924-2207
1 Medical Park
Ste 402
Wheeling, WV 26003
Phone (740) 792-4220
Interoperability endpoints
- jennifershattahi@rcarr.allscriptsdirect.net
- jennifer.shattahi.1@15594.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Clinical Cardiac Electrophysiology Physician
- Weirton, WV
- NPI 1184172033
PA
-
- Family Medicine Physician
- Easton, PA
- NPI 1073054458
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Clinical Cardiac Electrophysiology Physician
- Washington, PA
- NPI 1164923587
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Washington, PA
- NPI 1336459452
-
- General Acute Care Hospital
- Washington, PA
- NPI 1609984889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1508559501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 THREE SPRINGS DR STE 5A",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623839",
"telephone_number": "407-792-4220",
"fax_number": "740-275-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WELLNESS WAY STE 300",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153019697",
"telephone_number": "740-792-4220",
"fax_number": "740-275-4472"
}
],
"practiceLocations": [
{
"address_1": "2999 Innovation Way",
"address_purpose": "LOCATION",
"city": "Hermitage",
"state": "PA",
"postal_code": "161487903",
"country_code": "US",
"telephone_number": "724-983-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "740 E State St",
"address_purpose": "LOCATION",
"city": "Sharon",
"state": "PA",
"postal_code": "161463328",
"country_code": "US",
"telephone_number": "724-983-1800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "575 Coal Valley Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Jefferson Hills",
"state": "PA",
"postal_code": "150253723",
"country_code": "US",
"telephone_number": "740-792-4220",
"fax_number": "740-275-4472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "243 Three Springs Dr Ste 5A",
"address_purpose": "LOCATION",
"city": "Weirton",
"state": "WV",
"postal_code": "260623839",
"country_code": "US",
"telephone_number": "407-792-4220",
"fax_number": "740-275-4472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Park # 4",
"address_purpose": "LOCATION",
"city": "Wheeling",
"state": "WV",
"postal_code": "260036379",
"country_code": "US",
"telephone_number": "407-924-2207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHATTAHI",
"first_name": "JENNIFER",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN318643",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN593074",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "APRN.CNP.0034383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.