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ANGELA STALLARD SHORT FNP
NPI 1457671265
Nurse Practitioner - Family in Wise, VA

Active since June 03, 2010PECOS Enrolled
716 SPRING STREET, WISE, VA 24293(276) 328-8910(276) 328-4318 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Angela Stallard Short Fnp NPPES

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

ANGELA STALLARD SHORT FNP (NPI 1457671265) is an individual family provider in Wise, Virginia, licensed in Virginia (0024168816) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457671265
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANGELA STALLARD SHORTCredential: FNP
Location Address716 SPRING STREETWise, VA 24293
Mailing AddressPo Box 5127Johnson City, TN 37602-5127 · (866) 397-1439 · Fax (423) 431-5724
Phone(276) 328-8910
Fax(276) 328-4318
Sole ProprietorNo
Enumeration DateJune 3, 2010
Last NPPES UpdateJune 11, 2010
✔ NPI 1457671265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024168816
716 SPRING STREET, Wise, VA 24293
Open in Google Maps ↗

Other Names 1

Other Name (5)Angela L Short Fnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Stallard Short Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Angela Short reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
4.3 mi
Urgent Care
100 15TH ST NW, SUITE A
Norton, VA 24273
  • Reassigned Medicare billing, Virginia enrollment
  • 337 clinicians in this Medicare group
NPI 1063881456 (276) 439-1840
Western Virginia Regional Emergency Physicians, LLC
4.3 mi
Emergency Medicine
100 15TH ST NW
Norton, VA 24273
  • Reassigned Medicare billing, Virginia enrollment
  • 207 clinicians in this Medicare group
NPI 1386183028 (276) 439-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24293 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES

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

DR. LATISHA MECHELE HILTON D.O.
Internal Medicine
716 SPRING STREET, SUITE 204
WISE, VA 24293
Wise County (276) 329-8910

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 Angela Short's NPI number?

The NPI number for Angela Short is 1457671265. It was assigned to this individual provider in the NPPES registry on June 3, 2010. The provider is also known as Angela L Short Fnp.

Where is Angela Short located?

Angela Short practices at 716 Spring Street, Wise, VA 24293. The listed phone number is (276) 328-8910.

What is Angela Short's specialty?

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

Is Angela Short enrolled in Medicare?

Yes. Angela Short is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angela Short's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Short reassigns Medicare benefits to 2 organizations: Blue Ridge Medical Management Corporation (Norton, VA) and Western Virginia Regional Emergency Physicians, LLC (Norton, VA). 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 Angela Short's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Angela Short was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.