Individual provider Active NPI

Yelena Litvinchuk, PA

  • Physician Assistant
  • Shelby, NC
National Provider Identifier
1962904664
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07690 Issued in NC
Practice address
808 Schenck St
Shelby, NC 28150
Phone
(704) 480-9344
Fax
(704) 484-3260
NPI assigned
Mar 8, 2018
Last updated
May 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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 0010-07690 NC Primary

Addresses

Primary practice location

808 Schenck St
Shelby, NC 28150

Mailing address

808 Schenck St
Shelby, NC 28150-3934
Phone (704) 480-9344

Other practice location 1

808 Schenck St
Shelby, NC 28150-3934
Phone (704) 406-8065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180427000062 NC Practitioner - Physician Assistant 2668736653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of North Carolina PCGroup PAC ID 5991720591, 85 clinicians
NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians

Practice addresses (Care Compare)

100 Riceville Rd
Asheville, NC 28805-2122
Phone (828) 299-1110

600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 283-3100

707 N Elm St
High Point, NC 27262-3917
Phone (336) 885-0141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07690NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of North Carolina, PC Physician Assistant CurrentSince Jun 29, 2021 Accepting new patients

Locations

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

179 Combs St
Sparta, NC 28675
Phone (336) 372-2441

Organizations & group practices 4

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 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": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1962904664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SCHENCK ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503934",
            "telephone_number": "704-480-9344",
            "fax_number": "704-484-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SCHENCK ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28150",
            "telephone_number": "704-480-9344",
            "fax_number": "704-484-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Schenck St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503934",
            "country_code": "US",
            "telephone_number": "704-406-8065",
            "fax_number": "704-484-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITVINCHUK",
        "first_name": "YELENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.