Individual provider Active NPI

Jennifer Ann Shattahi

  • Acute Care Nurse Practitioner
  • Washington, PA
National Provider Identifier
1508559501
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0034383 Issued in OH
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

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 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
I20231115003632 PA Practitioner - Nurse Practitioner 9739536590 Reassigns benefits to 2 organizations
I20231127000766 OH Practitioner - Nurse Practitioner 9739536590 Reassigns benefits to 1 organization

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
Regional Cardiac Arrhythmia IncGroup PAC ID 1951680800, 9 clinicians

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

LicenseStateTypeSpecialty
RN318643OHMDRegistered Nurse
RN593074PAMDRegistered Nurse
APRN.CNP.0034383OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group Inc. CurrentSince Oct 1, 2023 Accepting new patients
Steward Medical Group Inc. CurrentSince Oct 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 1, 2023 Accepting new patients
Regional Cardiac Arrhythmia Inc CurrentSince Dec 23, 2024 Accepting new patients
Regional Cardiac Monitoring, Inc PastSince Jan 19, 2025 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

  • Direct secure messaging: jennifershattahi@rcarr.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.