Individual provider Active NPI

Shaunna Marie Yokum, FNP-C

  • Family Nurse Practitioner
  • Glenville, WV
National Provider Identifier
1104462894
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104968 Issued in WV
Practice address
921 Mineral Rd
Glenville, WV 26351-1342
Phone
(304) 462-1020
Fax
(304) 462-1021
NPI assigned
Nov 18, 2019
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104968 WV Primary

Addresses

Primary practice location

921 Mineral Rd
Glenville, WV 26351-1342

Mailing address

260 Gaston Manor Rd
Jane Lew, WV 26378-8027
Phone (304) 940-9451

Other practice location 1

21 E Main St Ste 301
Buckhannon, WV 26201-2926
Phone (304) 473-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117001485 WV Practitioner - Nurse Practitioner 6103251285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1842

921 Mineral Rd
Suite 101
Glenville, WV 26351-1342
Phone (855) 988-2273

PO Box
Suite 775
Morgantown, WV 26507-0775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jun 11, 2023 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 11, 2023 Accepting new patients
United Hospital Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
LHCG Lii, LLC PastSince Aug 1, 2021 Accepting new patients
United Hospital Center Past Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

921 Mineral Rd
Glenville, WV 26351
Phone (304) 462-5721

921 Mineral Rd
Ste 101
Glenville, WV 26351
Phone (304) 462-7322

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1104462894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 GASTON MANOR RD",
            "city": "JANE LEW",
            "state": "WV",
            "postal_code": "263788027",
            "telephone_number": "304-940-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 MINERAL RD",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "263511342",
            "telephone_number": "304-462-1020",
            "fax_number": "304-462-1021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 E Main St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Buckhannon",
            "state": "WV",
            "postal_code": "262012926",
            "country_code": "US",
            "telephone_number": "304-473-6800",
            "fax_number": "304-473-6815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOKUM",
        "first_name": "SHAUNNA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, WV

Sources for this page

Verify at the official NPI Registry.