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MILISSA K SHORT FNP-BC
NPI 1003089905
Nurse Practitioner - Family in Camden On Gauley, WV

Active since April 11, 2008PECOS EnrolledAccepts Medicare Assignment
10003 WEBSTER ROAD, CAMDEN ON GAULEY, WV 26208(304) 226-5725(304) 226-3274 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Milissa K Short Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILISSA K SHORT FNP-BC (NPI 1003089905) is an individual family provider in Camden On Gauley, West Virginia, licensed in West Virginia (43219) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Summersville Regional Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003089905
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMILISSA K SHORTCredential: FNP-BC
Location Address10003 WEBSTER ROADCamden On Gauley, WV 26208-0069
Mailing Address10003 Webster Road, Camden On Gauley Medical Center IncCamden On Gauley, WV 26208-0069 · (304) 226-5725 · Fax (304) 226-3274
Phone(304) 226-5725
Fax(304) 226-3274
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 11, 2008
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1003089905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 43219
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 43219 (WV)
10003 WEBSTER ROAD, Camden On Gauley, WV 26208
Open in Google Maps ↗

Other Identifiers 1

Other43219WV · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Milissa K Short Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799832143
PECOS Enrollment IDI20090422000192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Milissa Short reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Camden On Gauley Medical Center Inc
Same address
Federally Qualified Health Center (FQHC)
10003 WEBSTER RD
Camden On Gauley, WV 26208
NPI 1598749244 (304) 226-5725

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers27 claims106 services$6.34 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims31 services$1.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$19.87 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$7.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers69 claims69 services$115.36 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims28 services$38.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY J ANGUS FNP-BC
Nurse Practitioner (Family)
10003 WEBSTER ROAD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
CRYSTAL ROSE TAYLOR APRN-BC
Nurse Practitioner (Family)
10003 WEBSTER ROAD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725
DR. CRYSTAL MARIE HICKMAN RODEBAUGH MD
Family Medicine
10003 WEBSTER ROAD
CAMDEN-ON-GAULEY, WV 26208
Webster County (304) 226-5725
CAMDEN ON GAULEY MEDICAL CENTER INC
Clinical Medical Laboratory
10003 WEBSTER ROAD
CAMDEN ON GAULEY, WV 26208
Webster County (304) 226-5725

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Milissa Short's NPI number?

The NPI number for Milissa Short is 1003089905. It was assigned to this individual provider in the NPPES registry on April 11, 2008.

Where is Milissa Short located?

Milissa Short practices at 10003 Webster Road, Camden On Gauley, WV 26208. The listed phone number is (304) 226-5725.

What is Milissa Short's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Milissa Short enrolled in Medicare?

Yes. Milissa Short is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Milissa Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milissa Short reassigns Medicare benefits to Camden On Gauley Medical Center Inc (Camden On Gauley, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Milissa Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Milissa Short accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Milissa Short as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Milissa Short affiliated with any hospitals?

According to CMS data, Milissa Short is affiliated with Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Milissa Short was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.