SHANE DAVID WILSON AGACNP-BC
NPI 1437624236
Nurse Practitioner - Acute Care in Huntington, WV

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1249 15TH ST STE 4000, HUNTINGTON, WV 25701(304) 766-3600 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2020, Jul 15, 2019, Jul 11, 2019 and 1 more (4 updates tracked since 2018).

About Shane David Wilson Agacnp-bc NPPES

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

SHANE DAVID WILSON AGACNP-BC (NPI 1437624236) is an individual acute care provider in Huntington, West Virginia, licensed in West Virginia (63040) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1437624236
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameSHANE DAVID WILSONCredential: AGACNP-BC
Location Address1249 15TH ST STE 4000Huntington, WV 25701-3663
Mailing Address201 Parkstone DrFraziers Bottom, WV 25082-6977 · (304) 382-1090
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateOctober 30, 20204 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
NPI 1437624236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in WV · 63040
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 63040 (WV)
1249 15TH ST STE 4000, Huntington, WV 25701

Secondary Practice Location 1

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1330 · Fax (304) 598-1609

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane David Wilson Agacnp-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 ID143653816
PECOS Enrollment IDI20191211000473
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services58 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Cardiovascular Disease)
1249 15TH ST STE 4000
HUNTINGTON, WV 25701
Nurse Practitioner
1249 15TH ST STE 4000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST STE 4000
HUNTINGTON, WV 25701
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1249 15TH ST STE 4000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST STE 4000
HUNTINGTON, WV 25701
Internal Medicine (Clinical Cardiac Electrophysiology)
1249 15TH ST STE 4000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST STE 4000
HUNTINGTON, WV 25701
Nurse Practitioner (Family)
1249 15TH ST STE 4000
HUNTINGTON, WV 25701

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 Shane Wilson's NPI number?

The NPI number for Shane Wilson is 1437624236. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Shane Wilson located?

Shane Wilson practices at 1249 15th St Ste 4000, Huntington, WV 25701. The listed phone number is (304) 766-3600.

What is Shane Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shane Wilson enrolled in Medicare?

Yes. Shane Wilson 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.

What insurance does Shane Wilson accept?

Health plans from Blue Cross and Blue Shield of Texas and CareSource list Shane Wilson 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 Shane Wilson affiliated with any hospitals?

According to CMS data, Shane Wilson is affiliated with Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Shane Wilson was last updated on October 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.