Individual provider Active NPI

Jill Tracey Schenk, MD

  • Family Medicine Physician
  • Huntington, WV
National Provider Identifier
1770594475
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33726 Issued in WV
Practice address
1600 Medical Center Drive
Suite 1500
Huntington, WV 25701-3657
Phone
(304) 691-1100
Fax
(304) 691-1153
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X A87051 CA
Family Medicine Physician 207Q00000X DR-50806 CO
Family Medicine Physician 207Q00000X A87051 CA
Family Medicine Physician 207Q00000X 04-49107 KS
Family Medicine Physician 207Q00000X 64183-20 WI
Family Medicine Physician 207Q00000X 33726 WV Primary

Addresses

Primary practice location

1600 Medical Center Drive
Suite 1500
Huntington, WV 25701-3657

Mailing address

1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Phone (304) 691-6381

Other practice location 1

108 Mingo Street
Kermit, WV 25674-0430
Phone (304) 393-4303

Other practice location 2

3952 Teays Valley Road
Hurricane, WV 25526-8728
Phone (304) 757-6736

Other practice location 3

659 Central Avenue
Barboursville, WV 25504-1313
Phone (304) 736-5247

Other practice location 4

4600 Route 152
Lavalette, WV 25535-9702
Phone (304) 697-9480

Other practice location 5

67 Hereford Lane
Apple Grove, WV 25502-9403
Phone (304) 733-8750

Other identifiers 4

IdentifierTypeStateIssuer
P00168917OtherCARAILROAD MEDICARE
00A870510MedicaidCA
719834MedicaidAZ
240000OtherOROMAP

Other names 1

  • Jill Tracey Rutters Schenk Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jill.schenk@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, KS, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150908002735 WI Practitioner - Family Practice 7113998352 Reassigns benefits to 1 organization
I20210830002536 MN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7113998352 Reassigns benefits to 3 organizations
I20240401001976 KS Practitioner - Family Practice 7113998352 Reassigns benefits to 1 organization
I20241113003667 WV Practitioner - Family Practice 7113998352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Suite 1500
Huntington, WV 25701-3657
Phone (304) 691-1100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87051CAMDPersonal Emergency Response Attendant
DR-50806COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD CurrentSince Aug 17, 2015 Accepting new patients
St Catherine Hospital Family Medicine CurrentSince Mar 26, 2024 Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Lake Region Healthcare Corporation CurrentSince Nov 25, 2024 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Nov 25, 2024 Accepting new patients
Commonspirit Kansas, Inc. CurrentSince Mar 26, 2024 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Point Pleasant Physician Billing Services CurrentSince Mar 1, 2026 Accepting new patients
University Physicians & Surgeons, Inc Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Commonspirit Kansas, Inc. Current Accepting new patients
Inland Empire Hospital Services Association Family Medicine Past Accepting new patients
Valley Emergency Physicians Medical Group, Inc Past Accepting new patients
Sonoma Valley Emergency Physicians Medical Group, Inc Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

100 W Ross Blvd
Ste 1B
Dodge City, KS 67801
Phone (620) 371-5576

112 W Ross Blvd
Ste D
Dodge City, KS 67801
Phone (620) 371-6446

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

310 E Walnut St
Ste 201
Garden City, KS 67846
Phone (620) 272-2700

310 E Walnut St
Garden City, KS 67846
Phone (620) 275-9752

1413 Highway 33 S
Cloquet, MN 55720
Phone (218) 337-4000

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

111 W Vernon Ave
Fergus Falls, MN 56537
Phone (218) 736-5770

712 S Cascade St
Fergus Falls, MN 56537

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

1615 Maple Ln
Ste 1
Ashland, WI 54806
Phone (715) 685-7500

15495 County Road B
Hayward, WI 54843
Phone (715) 634-2641

11134 N State Road 77
Hayward, WI 54843
Phone (715) 634-5505

3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

67 Hereford Ln
Apple Grove, WV 25502
Phone (304) 733-8750

659 Central Ave
Barboursville, WV 25504
Phone (304) 691-6878

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

3952 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-6736

4600 Route 152
Lavalette, WV 25535
Phone (304) 697-9460

2520 Valley Dr
Pt Pleasant, WV 25550
Phone (304) 675-1020

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: jill.schenk@marshall.cernerdirect.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1770594475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVE STE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-691-6381",
            "fax_number": "304-691-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 1500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013657",
            "telephone_number": "304-691-1100",
            "fax_number": "304-691-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Mingo Street",
            "address_purpose": "LOCATION",
            "city": "Kermit",
            "state": "WV",
            "postal_code": "256740430",
            "country_code": "US",
            "telephone_number": "304-393-4303",
            "fax_number": "304-393-3254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3952 Teays Valley Road",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255268728",
            "country_code": "US",
            "telephone_number": "304-757-6736",
            "fax_number": "304-757-0582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "659 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Barboursville",
            "state": "WV",
            "postal_code": "255041313",
            "country_code": "US",
            "telephone_number": "304-736-5247",
            "fax_number": "304-736-7367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Route 152",
            "address_purpose": "LOCATION",
            "city": "Lavalette",
            "state": "WV",
            "postal_code": "255359702",
            "country_code": "US",
            "telephone_number": "304-697-9480",
            "fax_number": "304-697-9491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Hereford Lane",
            "address_purpose": "LOCATION",
            "city": "Apple Grove",
            "state": "WV",
            "postal_code": "255029403",
            "country_code": "US",
            "telephone_number": "304-733-8750",
            "fax_number": "304-908-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "JILL",
        "middle_name": "TRACEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "A87051",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR-50806",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87051",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-49107",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "64183-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "33726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00168917",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A870510",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "719834",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "240000",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jill.schenk@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Drive",
            "address_2": "Suite 1500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "RUTTERS SCHENK",
            "middle_name": "TRACEY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.