EXPRESS CARE OF YADKIN LLC
NPI 1548651128
Nurse Practitioner - Family in Yadkinville, NC

Active since February 18, 2015CLIA 34D2095762 · Waiver
755 SOUTH STATE STREET, YADKINVILLE, NC 27055(336) 849-4171(336) 849-4170 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2019, Nov 9, 2015 (2 updates tracked since 2015).

About Express Care Of Yadkin Llc NPPES

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

EXPRESS CARE OF YADKIN LLC (NPI 1548651128) is a healthcare organization registered as a family in Yadkinville, North Carolina and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Wendy S Shumate, Owner, as its authorized official.

NPPES Registry Identity

NPI1548651128
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEXPRESS CARE OF YADKIN LLC
Location Address755 SOUTH STATE STREETYadkinville, NC 27055
Mailing Address755 South State StreetYadkinville, NC 27055 · (336) 849-4171 · Fax (336) 849-4170
Fax(336) 849-4170
Organization SubpartNo
Authorized OfficialWendy S ShumateOwner · (336) 849-4171
Enumeration DateFebruary 18, 2015
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
✔ NPI 1548651128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 146646
755 SOUTH STATE STREET, Yadkinville, NC 27055

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Express Care Of Yadkin Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Express Care Of Yadkin LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1316405954
755 S STATE ST
Yadkinville, NC 27055
(336) 849-4171
✔ PECOSSame address
Nurse Practitioner
NPI 1467088260
755 S STATE ST
Yadkinville, NC 27055
(336) 849-4171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669446084
755 S STATE ST
Yadkinville, NC 27055
(336) 849-4171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457991721
2311 LEWISVILLE CLEMMONS RD FL 3
Clemmons, NC 27012
(336) 713-8900
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1558427997
150 CHARLOIS BLVD STE 200
Winston Salem, NC 27103
(336) 999-9311
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1033518311
167 MOORE RD STE 206
King, NC 27021
(336) 673-6450
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1265022776
3521 GRAYSTONE PL SE STE 202
Conover, NC 28613
(828) 732-5700
✔ PECOS✔ Accepts Medicare44 mi
Family Practice
NPI 1740851401
3711 ELMSLEY ST STE 102
Greensboro, NC 27406
(336) 890-2200
✔ PECOS✔ Accepts Medicare49 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2095762

Express Care Of Yadkin LLC · Yadkinville, NC
Active · expires May 10, 2027
CLIA Number34D2095762
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorWendy Shumate
Laboratory Phone(336) 849-4171
Laboratory LocationExpress Care Of Yadkin LLC755 S State Street, Yadkinville, NC 27055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Express Care Of Yadkin LLC's NPI number?

The NPI number for Express Care Of Yadkin LLC is 1548651128. It was assigned to this organization in the NPPES registry on February 18, 2015.

Where is Express Care Of Yadkin LLC located?

Express Care Of Yadkin LLC is located at 755 South State Street, Yadkinville, NC 27055. The listed phone number is (336) 849-4171.

What is Express Care Of Yadkin LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Express Care Of Yadkin LLC enrolled in Medicare?

Yes. Express Care Of Yadkin LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Express Care Of Yadkin LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Express Care Of Yadkin LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (7) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Express Care Of Yadkin LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2095762) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Express Care Of Yadkin LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Express Care Of Yadkin LLC 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.

When was this NPI record last updated?

The NPPES record for Express Care Of Yadkin LLC was last updated on November 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.