Shelly Denise Pack, FNP - Medicare Nurse Practitioner in Princeton, WV

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Shelly Denise Pack, FNP is a medicare enrolled "Nurse Practitioner - Family" in Princeton, West Virginia. Her current practice location is 3997 Beckley Rd, Princeton, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 431-5499.

Shelly Denise Pack is licensed to practice in West Virginia (license number 113688) 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 1629714761.

Contact Information

Shelly Denise Pack, FNP
3997 Beckley Rd,
Princeton, WV 24740-7660
(304) 431-5499
Not Available

Map and Direction




Provider's Profile

Full NameShelly Denise Pack
GenderFemale
SpecialityNurse Practitioner - Family
Location3997 Beckley Rd, Princeton, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629714761
  • Provider Enumeration Date: 05/11/2022
  • Last Update Date: 07/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658754767
  • Enrollment ID: I20220822002417

Medical Identifiers

Medical identifiers for Shelly Denise Pack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629714761NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 64418 (West Virginia)Secondary
363LF0000XNurse Practitioner - Family 113688 (West 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. Shelly Denise Pack allows following entities to bill medicare on her behalf.
Entity NameBluestone Health Association Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1346266848
PECOS PAC ID: 3577505221
Enrollment ID: O20051115000502
Entity NameBluestone Health Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770950396
PECOS PAC ID: 3577505221
Enrollment ID: O20160426000491
Entity NameBluestone Health Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437508314
PECOS PAC ID: 3577505221
Enrollment ID: O20161017000342
Entity NameBluestone Health Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003453317
PECOS PAC ID: 3577505221
Enrollment ID: O20210226000722

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. Shelly Denise Pack 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
Shelly Denise Pack, FNP
568 Leah Dr,
Princeton, WV 24739-9017

Ph: (304) 920-1954		Shelly Denise Pack, FNP
3997 Beckley Rd,
Princeton, WV 24740-7660

Ph: (304) 431-5499

Reviews and Comments


Nurse Practitioner Nurses in Princeton, WV

Leigh Brooks, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3997 Beckley Rd, Princeton, WV 24740
Phone: 304-431-5499    Fax: 304-431-3400
Sandra M. Wynn, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 122 12th St, Princeton, WV 24740
Phone: 304-487-7000    
Matthew Snuffer, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 122 12th St, Princeton, WV 24740
Phone: 304-487-7000    
Mrs. Sherri Lynn Williams, MSN APN BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12 Th Street, Princeton, WV 24740
Phone: 304-487-7475    
Mrs. April Anne Christ, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 118 12th Street Ext, Princeton, WV 24740
Phone: 304-487-7936    
Mr. Caleb Jonathon Mcdonald, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 118th Twelfth Street, Princeton, WV 24740
Phone: 304-487-7936    
Carlee Brooke Powell, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 324 Oakvale Rd, Princeton, WV 24740
Phone: 304-431-5499    

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.