Individual provider Active NPI

Brenna Nicole Young, PA-C

  • Physician Assistant
  • Wheeling, WV
National Provider Identifier
1417426271
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10 Medical Park
Wheeling, WV 26003-6389
Phone
(304) 243-8669
Fax
(304) 243-3825
NPI assigned
Nov 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10 Medical Park
Wheeling, WV 26003-6389

Mailing address

1363 Kennedy Ave
Martins Ferry, OH 43935-2103
Phone (740) 232-8180

Other practice location 1

1363 Kennedy Ave
Martins Ferry, OH 43935-2103
Phone (740) 232-8180

Other names 1

  • Ms. Brenna Nicole Becca Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbecca163490@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20200410001903 WV Practitioner - Physician Assistant 6305275447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2278WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Feb 12, 2020 Accepting new patients
Health and Education Building-Urgent Care CurrentSince May 8, 2020 Accepting new patients
West Virginia University Medical Corporation CurrentSince May 8, 2020 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

800 Wheeling Ave
Fl 3
Glen Dale, WV 26038
Phone (304) 845-0100

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

20 Medical Park
Ste 105
Wheeling, WV 26003
Phone (304) 242-4800

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

10 Medical Park
Ste 101
Wheeling, WV 26003
Phone (304) 243-3134

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1417426271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 KENNEDY AVE",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439352103",
            "telephone_number": "740-232-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036389",
            "telephone_number": "304-243-8669",
            "fax_number": "304-243-3825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1363 Kennedy Ave",
            "address_purpose": "LOCATION",
            "city": "Martins Ferry",
            "state": "OH",
            "postal_code": "439352103",
            "country_code": "US",
            "telephone_number": "740-232-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRENNA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbecca163490@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Wheeling Ave",
            "city": "Glen Dale",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260381660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENNA",
            "last_name": "BECCA",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.