Shelley Amber Gaum, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

01513 Issued in WV

Practice address

401 Division St Ste 306
South Charleston, WV 25309-1455

Phone

(304) 766-4300

Fax

(304) 766-5474

NPI assigned

Sep 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shelley Amber Richards Former name

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patel and Patel MD IncGroup PAC ID 1759301823, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Patel & Patel MD Inc

  • Obstetrics & Gynecology Physician
  • South Charleston, WV
  • NPI 1467535450
  Medicare reassignment Care Compare group
• Highland Hospital Association

  • Psychiatric Hospital
  • Charleston, WV
  • NPI 1497706659
  NPD (past)
• Mountain Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Lewisburg, WV
  • NPI 1073814513
  NPD (past)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1720396872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3466",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253343466",
            "telephone_number": "888-239-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DIVISION ST STE 306",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091455",
            "telephone_number": "304-766-4300",
            "fax_number": "304-766-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUM",
        "first_name": "SHELLEY",
        "middle_name": "AMBER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720396872",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "RICHARDS",
            "middle_name": "AMBER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Macy Pawelek Gardipee, LPC
• Ashley Gardner
• Kelsi Garl
• Amber Garrett
• Meagan Gaspar
• Halena Gear
• Evelyn Gearles
• Raphael Gedeon
• Angela George
• Mikayla Brook George

• Medical Physician Assistant in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.