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NATHAN ERNST
NPI 1013352541
Clinical Neuropsychologist in Triadelphia, WV

Active since May 10, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
502 CABELA DR, TRIADELPHIA, WV 26059(304) 243-8630(304) 243-3124 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 13, 2025, Apr 18, 2022, May 24, 2021 and 2 more (5 updates tracked since 2020).

About Nathan Ernst NPPES

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

NATHAN ERNST (NPI 1013352541) is an individual clinical neuropsychologist in Triadelphia, West Virginia and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013352541
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameNATHAN ERNST
Location Address502 CABELA DRTriadelphia, WV 26059-1044
Mailing Address2005 Cabot Blvd WLanghorne, PA 19047-1885 · (267) 587-2300 · Fax (267) 587-2305
Phone(304) 243-8630
Fax(304) 243-3124
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2013
Last NPPES UpdateAugust 13, 20255 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1013352541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
502 CABELA DR, Triadelphia, WV 26059
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nathan Ernst 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 ID8527488915
PECOS Enrollment IDI20201023003093
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 Reassignments

2

Medicare enrollment records show Nathan Ernst reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wheeling Hospital Inc
5.0 mi
Family Medicine
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
NPI 1548923923 (304) 243-3000
Wvu Medical Corporation
43 mi
Family Medicine
6040 UNIVERSITY TOWN CENTER DRIVE
Morgantown, WV 26501
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia University Medical Corporation
  • 2,471 clinicians in this Medicare group
NPI 1164828224 (304) 598-4800

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.

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MAX L WEST M.D.
Family Medicine
502 CABELA DR
TRIADELPHIA, WV 26059
Ohio County (304) 217-3506
BENJAMIN ARTHUR PASERBA
Psychiatry & Neurology (Neurology)
502 CABELA DR
TRIADELPHIA, WV 26059
Ohio County (304) 243-3749
KARENA FAYE DELVECCHIO
Nurse Practitioner (Family)
502 CABELA DR
TRIADELPHIA, WV 26059
Ohio County (304) 312-0416
WHEELING HOSPITAL INC
General Acute Care Hospital
502 CABELA DR
TRIADELPHIA, WV 26059
Ohio County (304) 243-8630
DR. DEAN J WICKEL
Surgery (Vascular Surgery)
502 CABELA DR
TRIADELPHIA, WV 26059
Ohio County (304) 285-1996

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 Nathan Ernst's NPI number?

The NPI number for Nathan Ernst is 1013352541. It was assigned to this individual provider in the NPPES registry on May 10, 2013.

Where is Nathan Ernst located?

Nathan Ernst practices at 502 Cabela Dr, Triadelphia, WV 26059. The listed phone number is (304) 243-8630.

What is Nathan Ernst's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Nathan Ernst enrolled in Medicare?

Yes. Nathan Ernst 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 organizations bill Medicare for Nathan Ernst's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Ernst reassigns Medicare benefits to 2 organizations: Wheeling Hospital Inc (Wheeling, WV) and Wvu Medical Corporation (Morgantown, WV). Each 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 Nathan Ernst's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Ernst accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Nathan Ernst 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 Nathan Ernst affiliated with any hospitals?

According to CMS data, Nathan Ernst is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Nathan Ernst was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.