Individual provider Active NPI

Paul Sheppard, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Glen Dale, WV
National Provider Identifier
1629895040
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
106926 Issued in WV
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

Updated by the provider on Sep 25, 2024

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 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, 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
I20250124000871 WV Practitioner - Nurse Practitioner 7113456872 Reassigns benefits to 2 organizations
I20250925001830 OH Practitioner - Nurse Practitioner 7113456872 Reassigns benefits to 1 organization

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
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

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

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc Nurse Practitioner CurrentSince Jul 9, 2025 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Nov 1, 2024 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.

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": "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

Verify at the official NPI Registry.