Individual provider Active NPI

Elliann Elizabeth Yocum

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1467327742
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6420 New Dutchmans Parkway
#380
Louisville, KY 40205
Phone
(502) 628-4378
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 KY Primary

Addresses

Primary practice location

6420 New Dutchmans Parkway
#380
Louisville, KY 40205

Mailing address

7729 Upton Oxmoor LN
Louisville, KY 40222-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251222001925 KY Practitioner - Physician Assistant 2264927714 Reassigns benefits to 1 organization
I20251229000141 IN Practitioner - Physician Assistant 2264927714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Care Centers PLLCGroup PAC ID 2961896832, 11 clinicians

Practice addresses (Care Compare)

301 Gordon Gutmann Blvd
Suite 402
Jeffersonville, IN 47130-3768
Phone (502) 894-9753

6420 Dutchmans Pkwy
Suite 380
Louisville, KY 40205-3355
Phone (502) 894-8441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Care Centers PLLC Physician Assistant CurrentSince Dec 11, 2025 Accepting new patients
Kentuckiana Ear, Nose & Throat PSC CurrentSince Jul 22, 1998 Accepting new patients

Locations

301 Gordon Gutmann Blvd
Ste 402
Jeffersonville, IN 47130
Phone (502) 894-8441

1405 Spring St
Jeffersonvlle, IN 47130
Phone (502) 894-8441

1465 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0001

9850 Von Allmen Ct
Ste 104
Louisville, KY 40241
Phone (502) 894-8441

6420 Dutchmans Pkwy
Ste 380
Louisville, KY 40205
Phone (502) 894-8441

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1467327742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7729 UPTON OXMOOR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 NEW DUTCHMANS PARKWAY",
            "address_2": "#380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40205",
            "telephone_number": "502-628-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCUM",
        "first_name": "ELLIANN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.