Shane David Wilson, AGACNP-BC - Medicare Nurse Practitioner in Huntington, WV

Shane David Wilson, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Huntington, West Virginia. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Monongalia County General Hospital Company and his current practice location is 1249 15th St Ste 4000, Huntington, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 766-3600.

Shane David Wilson is licensed to practice in West Virginia (license number 63040) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437624236.

Contact Information

Shane David Wilson, AGACNP-BC
1249 15th St Ste 4000,
Huntington, WV 25701-3663
(304) 766-3600
Not Available

Map and Direction




Provider's Profile

Full NameShane David Wilson
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location1249 15th St Ste 4000, Huntington, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shane David Wilson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1437624236
  • Provider Enumeration Date: 10/08/2018
  • Last Update Date: 10/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0143653816
  • Enrollment ID: I20191211000473

Medical Identifiers

Medical identifiers for Shane David Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437624236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 63040 (West Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care 63040 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mon Health Medical CenterMorgantown, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monongalia County General Hospital Company9638073380178

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shane David Wilson allows following entities to bill medicare on his behalf.
Entity NameMonongalia County General Hospital Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447673223
PECOS PAC ID: 9638073380
Enrollment ID: O20031124000459

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shane David Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shane David Wilson, AGACNP-BC
201 Parkstone Dr,
Fraziers Bottom, WV 25082-6977

Ph: (304) 382-1090
Shane David Wilson, AGACNP-BC
1249 15th St Ste 4000,
Huntington, WV 25701-3663

Ph: (304) 766-3600

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.