Active NPI
Nicholas Prenatt, PA-C
- Physician Assistant
- Wheeling, WV
National Provider Identifier
1518281963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PENDING 3/8/2010
- Practice address
- 1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379 - Phone
- (304) 243-3124
- Fax
- (304) 243-1038
- NPI assigned
- Mar 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PENDING 3/8/2010 | WV | Primary |
Addresses
Primary practice location
1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379
Mailing address
1 Medical Park
Wheeling Hospital Inc
Wheeling, WV 26003-6379
Phone (304) 243-3124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1089846 | Other | PA | NATIONAL BOARD CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1518281963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "WHEELING HOSPITAL INC",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-243-3124",
"fax_number": "304-243-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"address_2": "WHEELING HOSPITAL INC",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-243-3124",
"fax_number": "304-243-1038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENATT",
"first_name": "NICHOLAS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WV",
"license": "PENDING 3/8/2010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD CERTIFICATION",
"identifier": "1089846",
"state": "PA"
}
],
"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 Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.