Angela Stallard Short, FNP - Medicare Nurse Practitioner in Wise, VA

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Angela Stallard Short, FNP is a medicare enrolled "Nurse Practitioner - Family" in Wise, Virginia. Her current practice location is 716 Spring Street, Wise, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 328-8910.

Angela Stallard Short is licensed to practice in Virginia (license number 0024168816) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457671265.

Contact Information

Angela Stallard Short, FNP
716 Spring Street,
Wise, VA 24293
(276) 328-8910
(276) 328-4318

Map and Direction




Provider's Profile

Full NameAngela Stallard Short
GenderFemale
SpecialityNurse Practitioner - Family
Location716 Spring Street, Wise, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457671265
  • Provider Enumeration Date: 06/03/2010
  • Last Update Date: 06/11/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5294922787
  • Enrollment ID: I20101209000755

Medical Identifiers

Medical identifiers for Angela Stallard Short such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457671265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024168816 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela Stallard Short allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336
Entity NameAppalachian Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487963781
PECOS PAC ID: 6901099639
Enrollment ID: O20110120000558
Entity NameWestern Virginia Regional Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386183028
PECOS PAC ID: 4183991227
Enrollment ID: O20170522001368

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela Stallard Short is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angela Stallard Short, FNP
Po Box 5127,
Johnson City, TN 37602-5127

Ph: (866) 397-1439		Angela Stallard Short, FNP
716 Spring Street,
Wise, VA 24293

Ph: (276) 328-8910

Reviews and Comments


Nurse Practitioner Nurses in Wise, VA

Joyce Addington, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 628 Lake St Ne, Wise, VA 24293
Phone: 276-328-8017    Fax: 276-328-3350
Johnnie Kay Carrico, MSN FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 College Ave Rm 105, Wise, VA 24293
Phone: 276-376-3475    Fax: 376-328-3102
Ms. Dawn Short, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 417 W Main St, Wise, VA 24293
Phone: 276-328-7071    Fax: 276-328-6082
Mrs. Hannah Renee Robinson, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 134 Roberts Ave Sw, Wise, VA 24293
Phone: 276-328-8000    
Crystal Large, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 517 W Main St, Suite E, Wise, VA 24293
Phone: 276-328-2961    Fax: 276-328-2965
Jazlyn Whitney Rowe, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5626 Patriot Dr, Wise, VA 24293
Phone: 276-328-8850    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.