Active NPI
Michael Lawrence Yoder, NP-C
- Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95012579
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (916) 734-2011
- NPI assigned
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0029519 | OH | |
| Nurse Practitioner | 363L00000X | 95012579 | CA | Primary |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-4096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191206002374 | CA | Practitioner - Nurse Practitioner | 0143653048 | Reassigns benefits to 1 organization |
| I20211001001334 | OH | Practitioner - Nurse Practitioner | 0143653048 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osu Radiology LLC
Practice addresses (Care Compare)
460 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8315
Hospital & facility affiliations
- James Cancer Hospital & Solove Research Institute
- Ohio State University State Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95028755 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Osu Radiology LLC | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients |
Locations
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
395 W 12th Ave
Rm 460
Columbus, OH 43210
Phone (614) 293-8299
460 W 10th Ave
Columbus, OH 43210
Phone (614) 293-3196
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Trauma Surgery Physician
- Sacramento, CA
- NPI 1568455590
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Columbus, OH
- NPI 1124127683
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1003457995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "916-734-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "MICHAEL",
"middle_name": "LAWRENCE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0029519",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95012579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.