Katrina Ann Shires, NP-C
Nurse Practitioner, Family in Peterstown, WV. Individual provider (NPI-1).
NPI number1154763282
StatusActive
Last updated in NPPESJan 29, 2025
Details
- NPI
- 1154763282
- Entity type
- Individual (NPI-1)
- Name
- Katrina Ann Shires
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2013
- Certification date
- Jan 29, 2025
- Last updated
- Jan 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71558 | WV | Yes |
Practice location
2869 Seneca Trl SPeterstown, WV 24963-5037
Phone 304-753-4336 · Fax 304-753-5146
Mailing address
Po Box 590Union, WV 24983-0590
Phone 304-772-3065 · Fax 304-772-3296
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Other Family Nurse Practitioner providers in Peterstown, WV
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