Individual provider Active NPI

Zachary Schott

  • Family Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1861073025
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113687 Issued in WV
Practice address
120 Professional PL # 103
Bridgeport, WV 26330-4599
Phone
(681) 214-0101
Fax
(304) 853-5859
NPI assigned
Apr 19, 2021
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11012595 FL
Family Nurse Practitioner 363LF0000X 113687 WV Primary

Addresses

Primary practice location

120 Professional PL # 103
Bridgeport, WV 26330-4599

Mailing address

120 Professional PL # 103
Bridgeport, WV 26330-4599
Phone (681) 214-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 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
I20220718000329 WV Practitioner - Nurse Practitioner 5890194245 Reassigns benefits to 5 organizations
I20240322002448 VA Practitioner - Nurse Practitioner 5890194245

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zachary Schott LLCGroup PAC ID 2062942303, 2 clinicians

Practice addresses (Care Compare)

120 Professional PL
Suite 103
Bridgeport, WV 26330-4599
Phone (681) 214-0101

2025 White Oaks Blvd
Bridgeport, WV 26330-5402
Phone (681) 214-0101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012595FLMDFamily Nurse Practitioner
108700WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schott Group Family CurrentSince Jun 1, 2025 Accepting new patients
Geps Physician Group of West Virginia PC CurrentSince Apr 17, 2023 Accepting new patients
Zachary Schott LLC CurrentSince Nov 25, 2024 Accepting new patients

Locations

216 Samaritan Cir
Belington, WV 26250
Phone (304) 823-2555

120 Professional Pl
Bridgeport, WV 26330
Phone (681) 214-0101

120 Professional Pl
#103
Bridgeport, WV 26330
Phone (304) 969-4885

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1861073025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL PL # 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263304599",
            "telephone_number": "681-214-0101",
            "fax_number": "304-853-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROFESSIONAL PL # 103",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263304599",
            "telephone_number": "681-214-0101",
            "fax_number": "304-853-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11012595",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "113687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.