Individual provider Active NPI

Shelly E. Willham, CFNP

  • Nurse Practitioner
  • Parkersburg, WV
National Provider Identifier
1578576807
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
57551 Issued in WV
Practice address
601 Avery St Ste 500
Parkersburg, WV 26101-5111
Phone
(330) 348-3664
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 57551 WV Primary

Addresses

Primary practice location

601 Avery St Ste 500
Parkersburg, WV 26101-5111

Mailing address

601 Avery St Ste 500
Parkersburg, WV 26101-5111
Phone (304) 372-2731

Other practice location 1

122 Pinnell Street
Ripley, WV 25271
Phone (304) 372-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061103000352 WV Practitioner - Nurse Practitioner 6507863545 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
57551WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Development Co Current Accepting new patients
Hospital Development Co CurrentSince Jun 15, 2024 Accepting new patients
Hospital Development Co Current Accepting new patients
Geps Physician Group of West Virginia PC CurrentSince Sep 15, 2015 Accepting new patients
Alignmed Medical Group WV, PC CurrentSince Oct 19, 2024 Accepting new patients
Hospital Development Co CurrentSince Jun 15, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
James R. Toothman DO PLLC Past Accepting new patients
Community Health Association Past Accepting new patients
Community Health Association Past Accepting new patients

Locations

6508 Deer Pointe Dr
Ste A
Salisbury, MD 21804

1660 Easton Rd
Warrington, PA 18976
Phone (215) 345-3205

1000 Association Dr
Charleston, WV 25311
Phone (304) 345-4377

1543 Country Club Rd
Fairmont, WV 26554
Phone (304) 363-2273

1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444

Organizations & group practices 10

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1578576807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 AVERY ST STE 500",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015111",
            "telephone_number": "304-372-2731",
            "fax_number": "304-372-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 AVERY ST STE 500",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261015111",
            "telephone_number": "330-348-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Pinnell Street",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "WV",
            "postal_code": "25271",
            "country_code": "US",
            "telephone_number": "304-372-2731",
            "fax_number": "304-372-2749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLHAM",
        "first_name": "SHELLY",
        "middle_name": "E.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "57551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.