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JACKIE D SHORTER PAC
NPI 1871676874
Family Medicine in Pineville, WV

Active since October 23, 2006PECOS Enrolled
1650 MAIN STREET, PINEVILLE, WV 24874(304) 732-6735(304) 732-9218 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie D Shorter Pac NPPES

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

JACKIE D SHORTER PAC (NPI 1871676874) is an individual family medicine provider in Pineville, West Virginia, licensed in West Virginia (299) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871676874
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACKIE D SHORTERCredential: PAC
Location Address1650 MAIN STREETPineville, WV 24874
Mailing AddressPo Box 1650, Family Healthcare Assoc IncPineville, WV 24874 · (304) 732-6735 · Fax (304) 732-9218
Phone(304) 732-6735
Fax(304) 732-9218
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1871676874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 299
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1650 MAIN STREET, Pineville, WV 24874
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Other Identifiers 2

Medicaid3810000497WV
Medicare UPINP83304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie D Shorter Pac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24874 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims58 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers19 claims19 services$0.97 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
2 suppliers16 claims480 services$4.32 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers17 claims480 services$2.50 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers54 claims54 services$19.36 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier14 claims14 services$8.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JEFFREY A PRICHARD PAC
Family Medicine
1650 MAIN STREET
PINEVILLE, WV 24874
Wyoming County (304) 732-6735
CHARLES E HILL JR. PAC
Family Medicine
1650 MAIN STREET, FAMILY HEALTHCARE ASSOC INC
PINEVILLE, WV 24874
Wyoming County (304) 732-6735

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 Jackie Shorter's NPI number?

The NPI number for Jackie Shorter is 1871676874. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Jackie Shorter located?

Jackie Shorter practices at 1650 Main Street, Pineville, WV 24874. The listed phone number is (304) 732-6735.

What is Jackie Shorter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jackie Shorter enrolled in Medicare?

Yes. Jackie Shorter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackie Shorter was last updated on February 12, 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.