Lezlie Short, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Upper Glade, West Virginia. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice West Virginia Health Care Cooperative Inc and her current practice location is
177 Kentwood Drive, Upper Glade, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 619-4667.
Lezlie Short is licensed to practice in West Virginia (license number 105300) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487545158.
Provider's Profile
| Full Name | Lezlie Short |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 177 Kentwood Drive, Upper Glade, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lezlie Short graduated from nursing school in 2025
NPI Data:
- NPI Number: 1487545158
- Provider Enumeration Date: 07/11/2025
- Last Update Date: 07/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153812821
- Enrollment ID: I20251111002462
Medical Identifiers
Medical identifiers for Lezlie Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487545158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 105300 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| West Virginia Health Care Cooperative Inc | 9830431030 | 61 |
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. Lezlie Short allows following entities to bill medicare on her behalf.
| Entity Name | West Virginia Health Care Cooperative Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417415324
PECOS PAC ID: 9830431030
Enrollment ID: O20190508000440 |
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| Entity Name | West Virginia Health Care Cooperative Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1043778319
PECOS PAC ID: 9830431030
Enrollment ID: O20190531001788 |
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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. Lezlie 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 Address | Practice Location Address |
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Lezlie Short, FNP-C
177 Kentwood Drive,
Upper Glade, WV 26266-0088
Ph: (304) 619-4667 | Lezlie Short, FNP-C
177 Kentwood Drive,
Upper Glade, WV 26266-0088
Ph: (304) 619-4667 |
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