Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Issaiah Wallace, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508422338

Issaiah Wallace, PMHNP is a Nurse Practitioner in Weston, West Virginia. Qualified in 2018, 8 years ago. Practices with William R Sharpe Jr Hospital, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
8
Licensed in
WV
In the registry since
2019
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

936 Sharpe Hospital Rd
Weston, WV 26452-8550
Phone: (304) 269-1210
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 132 William Ln, Mount Clare, WV 26408-7227 — (304) 712-4358

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 102650 (WV)

Record details

NPI number1508422338
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing addressPo Box 12, Enterprise, WV 26568-0012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice William R Sharpe Jr Hospital — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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