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DONNA JOYCE SHANHOLTZER FNP
NPI 1497754766
Nurse Practitioner in Spencer, WV

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
146 WILLIAMS DR, SPENCER, WV 25276(304) 927-1495(304) 927-8189 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Donna Joyce Shanholtzer Fnp NPPES

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

DONNA JOYCE SHANHOLTZER FNP (NPI 1497754766) is an individual nurse practitioner in Spencer, West Virginia, licensed in West Virginia (50782) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1497754766
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDONNA JOYCE SHANHOLTZERCredential: FNP
Location Address146 WILLIAMS DRSpencer, WV 25276-1826
Mailing Address146 Williams DrSpencer, WV 25276-1826 · (304) 927-1495 · Fax (304) 927-8189
Phone(304) 927-1495
Fax(304) 927-8189
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 19, 2005
Last NPPES UpdateAugust 26, 2013
✔ NPI 1497754766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 50782
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
146 WILLIAMS DR, Spencer, WV 25276
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Other Names 1

Former Name (1)Donna Joyce Crosby

Other Identifiers 2

Medicare UPINQ32316
Medicare ID-Type UnspecifiedSHNP77651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).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

Donna Joyce Shanholtzer Fnp 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 ID3173581733
PECOS Enrollment IDI20260204001092
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

3

Medicare enrollment records show Donna Shanholtzer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Health Network LLC
349 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Ohio enrollment
  • 271 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627
Matrix Medical Plus
349 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, West Virginia enrollment
  • 80 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627
Matrix Medical Network Of West
1,735 mi
Nurse Practitioner
9201 E MOUNTAIN VIEW RD, SUITE 220
Scottsdale, AZ 85258
  • Reassigned Medicare billing, West Virginia enrollment
  • 68 clinicians in this Medicare group
NPI 1942569033 (480) 862-1700

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 25276 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.

Other Providers at the Same Location NPPES 11

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

MRS. LAURA K SMITH PA-C
Physician Assistant
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-8138
ROANE COUNTY FAMILY HEALTH CARE
Nurse Practitioner (Family)
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-8143
MIRANDA HAMILTON APRN, FNP-BC
Nurse Practitioner (Family)
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-1495
MR. BRIAN L BAKER PA-C
Physician Assistant
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-1495
ROANE COUNTY FAMILY HEALTH CARE, INC.
Obstetrics & Gynecology
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-1495
MRS. JULIE M MORGAN PA-C
Physician Assistant
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-8143
CASSANDRA RAE SAYRE WHNP-BC
Nurse Practitioner (Women's Health)
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-1495
DR. CARROLL D CHRISTIANSEN M.D.
Family Medicine
146 WILLIAMS DR
SPENCER, WV 25276
Roane County (304) 927-1495

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 Donna Shanholtzer's NPI number?

The NPI number for Donna Shanholtzer is 1497754766. It was assigned to this individual provider in the NPPES registry on July 19, 2005. The provider is also known as Donna Joyce Crosby.

Where is Donna Shanholtzer located?

Donna Shanholtzer practices at 146 Williams Dr, Spencer, WV 25276. The listed phone number is (304) 927-1495.

What is Donna Shanholtzer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donna Shanholtzer enrolled in Medicare?

Yes. Donna Shanholtzer 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 Donna Shanholtzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Shanholtzer reassigns Medicare benefits to 3 organizations: Community Care Health Network LLC (Nashville, TN), Matrix Medical Plus (Nashville, TN) and Matrix Medical Network Of West (Scottsdale, AZ). 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 Donna Shanholtzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Shanholtzer accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Donna Shanholtzer 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.

When was this NPI record last updated?

The NPPES record for Donna Shanholtzer was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.