ZACHARY SCHOTT LLC
NPI 1619791563
Clinic/Center in Bridgeport, WV

Active since November 07, 2024
120 PROFESSIONAL PL # 103, BRIDGEPORT, WV 26330(304) 969-4885(304) 853-5859 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Zachary Schott Llc NPPES

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

ZACHARY SCHOTT LLC (NPI 1619791563), doing business as Bridgeport Wellness Center, is a healthcare organization registered as a clinic/center in Bridgeport, West Virginia and active in the NPI registry since November 2024. The organization lists Zachary Schott, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1619791563
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameZACHARY SCHOTT LLC
Location Address120 PROFESSIONAL PL # 103Bridgeport, WV 26330-4599
Mailing Address207 Gandalf RdMasontown, WV 26542-9023
Fax(304) 853-5859
Organization SubpartNo
Authorized OfficialZachary SchottOwner/provider · (304) 518-1861
Enumeration DateNovember 7, 2024
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1619791563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
120 PROFESSIONAL PL # 103, Bridgeport, WV 26330

Other Names 1

Doing Business AsBridgeport Wellness Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Schott Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Zachary Schott LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1861073025
120 PROFESSIONAL PL # 103
Bridgeport, WV 26330
(681) 214-0101
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891370607
1081 MAPLEWOOD DR
Bridgeport, WV 26330
(304) 842-4135
✔ PECOS✔ Accepts Medicare3.2 mi

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

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 Zachary Schott LLC's NPI number?

The NPI number for Zachary Schott LLC is 1619791563. It was assigned to this organization in the NPPES registry on November 7, 2024. The provider is doing business as Bridgeport Wellness Center.

Where is Zachary Schott LLC located?

Zachary Schott LLC is located at 120 Professional Pl # 103, Bridgeport, WV 26330. The listed phone number is (304) 969-4885.

What is Zachary Schott LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Zachary Schott LLC enrolled in Medicare?

Yes. Zachary Schott LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Zachary Schott LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Zachary Schott LLC. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Zachary Schott LLC was last updated on August 28, 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.