Active NPI
Paul Sheppard, MSN, APRN, FNP-BC
- Nurse Practitioner
- Glen Dale, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 106926
- Practice address
- 800 Wheeling Ave
Glen Dale, WV 26038-1660 - Phone
- (304) 845-3211
- NPI assigned
- Sep 25, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 106926 | WV | Primary |
Addresses
Primary practice location
800 Wheeling Ave
Glen Dale, WV 26038-1660
Mailing address
200 Kerners Circle Dr
Wheeling, WV 26003-1265
Phone (740) 827-5024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, 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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Market St
Wheeling, WV 26003-2944
Phone (304) 231-2104
222 N 5TH St
Suite 102
Martins Ferry, OH 43935-1582
Phone (740) 232-6104
800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3310
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeling Hospital Inc | Nurse Practitioner | Current | Accepting new patients |
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients |
Locations
222 N 5th St
Ste 102
Martins Ferry, OH 43935
Phone (740) 232-6104
222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480
51339 National Rd
St Clairsvle, OH 43950
Phone (740) 695-1210
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
134 Lafayette Ave
Moundsville, WV 26041
215 Lafayette Ave
Moundsville, WV 26041
Phone (304) 234-3405
132 Lafayette Ave
Moundsville, WV 26041
Phone (304) 843-3435
210 Fairmont Pike Rd
Wheeling, WV 26003
Phone (304) 221-3020
1025 Market St
Wheeling, WV 26003
Phone (304) 231-2104
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Organizations & group practices 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1629895040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 KERNERS CIRCLE DR",
"city": "WHEELING",
"state": "WV",
"postal_code": "260031265",
"telephone_number": "740-827-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WHEELING AVE",
"city": "GLEN DALE",
"state": "WV",
"postal_code": "260381660",
"telephone_number": "304-845-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "PAUL",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-25",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "106926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Dale, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.