SHELLEY AMBER GAUM PA-C
NPI 1720396872
Physician Assistant - Medical in South Charleston, WV

Active since September 22, 2010PECOS EnrolledAccepts Medicare Assignment
401 DIVISION ST STE 306, SOUTH CHARLESTON, WV 25309(304) 766-4300(304) 766-5474 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2023, Oct 16, 2019 (2 updates tracked since 2019).

About Shelley Amber Gaum Pa-c NPPES

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

SHELLEY AMBER GAUM PA-C (NPI 1720396872) is an individual medical provider in South Charleston, West Virginia, licensed in West Virginia (01513) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1720396872
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHELLEY AMBER GAUMCredential: PA-C
Location Address401 DIVISION ST STE 306South Charleston, WV 25309-1455
Mailing AddressPo Box 3466Charleston, WV 25334-3466 · (888) 239-8370
Fax(304) 766-5474
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 22, 2010
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
NPI 1720396872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WV · 01513
401 DIVISION ST STE 306, South Charleston, WV 25309

Other Names 1

Former Name (1)Shelley Amber Richards Pa-c

Other Identifiers 1

Medicaid1720396872WV

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

Shelley Amber Gaum Pa-c 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 ID4183810286
PECOS Enrollment IDI20101201001030
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services14 patients

Other Providers at the Same Location NPPES 6

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

Physician Assistant
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Physician Assistant
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Physician Assistant (Medical)
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Obstetrics & Gynecology
401 DIVISION ST STE 306
SOUTH CHARLESTON, WV 25309
Nurse Practitioner (Family)
401 DIVISION ST STE 306
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 Shelley Gaum's NPI number?

The NPI number for Shelley Gaum is 1720396872. It was assigned to this individual provider in the NPPES registry on September 22, 2010. The provider is also known as Shelley Amber Richards Pa-C.

Where is Shelley Gaum located?

Shelley Gaum practices at 401 Division St Ste 306, South Charleston, WV 25309. The listed phone number is (304) 766-4300.

What is Shelley Gaum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shelley Gaum enrolled in Medicare?

Yes. Shelley Gaum 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 Shelley Gaum accept?

Health plans from CareSource list Shelley Gaum 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 Shelley Gaum was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.