Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane David Wilson, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1437624236

Shane David Wilson, AGACNP-BC is a Nurse Practitioner in Huntington, West Virginia. Qualified in 2018, 8 years ago. Practices with Monongalia County General Hospital Company, a 245-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
2018
Specialties on file
2
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Practice location Address checks out

1249 15th St Ste 4000
Huntington, WV 25701-3663
Phone: (304) 766-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 J D Anderson Dr, Morgantown, WV 26505-3494 — (304) 598-1330

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 63040 (WV)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 63040 (WV)

Record details

NPI number1437624236
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedOctober 8, 2018
Last updated in NPPESOctober 30, 2020
Certification dateOctober 30, 2020

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 Monongalia County General Hospital Company — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Huntington