YEZENIA SOTO APRN-BC
NPI 1538712138
Nurse Practitioner - Critical Care Medicine in South Charleston, WV

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4619 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309(304) 400-4545 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 21, 2019, Jul 23, 2019 (2 updates tracked since 2019).

About Yezenia Soto Aprn-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YEZENIA SOTO APRN-BC (NPI 1538712138) is an individual critical care medicine provider in South Charleston, West Virginia, licensed in West Virginia (104046) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538712138
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameYEZENIA SOTOCredential: APRN-BC
Location Address4619 KANAWHA AVE SWSouth Charleston, WV 25309-1319
Mailing Address206 High StSaint Albans, WV 25177-2423 · (304) 541-7781
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2019
Last NPPES UpdateAugust 21, 20192 updates tracked since enumeration
NPI 1538712138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in WV · 104046
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 104046 (WV)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 104046 (WV)
4619 KANAWHA AVE SW, South Charleston, WV 25309

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Yezenia Soto Aprn-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880924398
PECOS Enrollment IDI20190926001369
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
228 services146 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$19.68 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
5 suppliers59 claims59 services$911.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$5.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers32 claims32 services$101.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Primary Care)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine (Critical Care Medicine)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine (Critical Care Medicine)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Internal Medicine (Critical Care Medicine)
4619 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yezenia Soto's NPI number?

The NPI number for Yezenia Soto is 1538712138. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Yezenia Soto located?

Yezenia Soto practices at 4619 Kanawha Ave SW, South Charleston, WV 25309. The listed phone number is (304) 400-4545.

What is Yezenia Soto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Yezenia Soto enrolled in Medicare?

Yes. Yezenia Soto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Yezenia Soto accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Yezenia Soto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yezenia Soto affiliated with any hospitals?

According to CMS data, Yezenia Soto is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Yezenia Soto was last updated on August 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.