Individual provider Active NPI

Sheila Ann Danzer, FNP-BC

  • Family Nurse Practitioner
  • Charleston, WV
National Provider Identifier
1780938878
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36304 Issued in WV
Practice address
3200 McCorkle Ave SE
Msob Suite 410
Charleston, WV 25304-1227
Phone
(304) 388-5532
Fax
(304) 388-5557
NPI assigned
Oct 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36304 WV Primary

Addresses

Primary practice location

3200 McCorkle Ave SE
Msob Suite 410
Charleston, WV 25304-1227

Mailing address

3200 McCorkle Ave SE
Msob Suite 410
Charleston, WV 25304-1227
Phone (304) 388-5532

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
I20031217000123 WV Practitioner - Nurse Practitioner 2466359542 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc CurrentSince Feb 15, 2016 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 29, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Feb 15, 2016 Accepting new patients
Charleston Cardiology Group PLLC Past Accepting new patients
Associated Radiologists, Inc. Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3200 Maccorkle Ave SE
Ste 410
Charleston, WV 25304
Phone (304) 388-5532

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

3100 Maccorkle Ave SE
Ste 203
Charleston, WV 25304
Phone (304) 345-8820

Organizations & group practices 5

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": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1780938878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MCCORKLE AVE SE",
            "address_2": "MSOB SUITE 410",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-5532",
            "fax_number": "304-388-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MCCORKLE AVE SE",
            "address_2": "MSOB SUITE 410",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041227",
            "telephone_number": "304-388-5532",
            "fax_number": "304-388-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANZER",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "36304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.