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

Shelly Denise Pack, FNP

Individual provider Registered Nurse · NPI 1629714761

Shelly Denise Pack, FNP is a Nurse Practitioner in Princeton, West Virginia. Qualified in 2022, 4 years ago. Practices with Bluestone Health Association, Inc, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3997 Beckley Rd
Princeton, WV 24740-7660
Phone: (304) 431-5499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 568 Leah Dr, Princeton, WV 24739-9017 — (304) 920-1954

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 113688 (WV)
Registered Nurse Taxonomy 163W00000X · Licence 64418 (WV)

Record details

NPI number1629714761
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESJuly 16, 2022
Certification dateJuly 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bluestone Health Association, Inc. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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