Individual provider Active NPI

Madison Elizabeth Yocke, PA-C

  • Physician Assistant
  • Wheeling, WV
National Provider Identifier
1811633571
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2659 Issued in WV
Practice address
1315 Mount Dechantal Road
Wheeling, WV 26003-4991
Phone
(304) 243-7117
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 2659 WV Primary

Addresses

Primary practice location

1315 Mount Dechantal Road
Wheeling, WV 26003-4991

Mailing address

94 Westgate Dr Apt B306
Wheeling, WV 26003-4991
Phone (304) 780-6412

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808003283 WV Practitioner - Family Practice 3375925373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Family Practice, PLLCGroup PAC ID 9436253630, 4 clinicians

Practice addresses (Care Compare)

1315 Mt Dechantal Rd
Wheeling, WV 26003-6357
Phone (304) 243-7117

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2967WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Practice, PLLC CurrentSince Jul 29, 2022 Accepting new patients
Alecto Healthcare Services Wheeling LLC Past Accepting new patients
Ohio Valley Medical Center Inc PastSince Jul 29, 2022 Accepting new patients

Locations

1315 Mount de Chantal Rd
Wheeling, WV 26003
Phone (304) 243-6420

Interoperability endpoints

  • Direct secure messaging: drmadisonyocke@afp.medentdirect.com

Organizations & group practices 3

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 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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1811633571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 WESTGATE DR APT B306",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034991",
            "telephone_number": "304-780-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MOUNT DECHANTAL ROAD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260034991",
            "telephone_number": "304-243-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCKE",
        "first_name": "MADISON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.