Active NPI
Dorcas Ann Yates, RN CFNP
- Family Nurse Practitioner
- Grants, NM
National Provider Identifier
1003889254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R15456
- Practice address
- 1010 E Roosevelt Ave
Grants, NM 87020-2118 - Phone
- (505) 287-2948
- Fax
- (505) 287-5372
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R15456 | NM | Primary |
Addresses
Primary practice location
1010 E Roosevelt Ave
Grants, NM 87020-2118
Mailing address
1010 E Roosevelt Ave
Grants, NM 87020-2118
Phone (505) 287-2948
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85-0286828 | Other | NM | FEDERAL TAX ID |
| 44636 | Medicaid | NM | |
| G0667 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of New Mexico School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1016 E Rooselvelt Ave
Grants, NM 87020-2118
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R15456 | NM | MD | Family Nurse Practitioner |
Interoperability endpoints
- dyates0@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1003889254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E ROOSEVELT AVE",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202118",
"telephone_number": "505-287-2948",
"fax_number": "505-287-5372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E ROOSEVELT AVE",
"city": "GRANTS",
"state": "NM",
"postal_code": "870202118",
"telephone_number": "505-287-2948",
"fax_number": "505-287-5372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "DORCAS",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "RN CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R15456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "85-0286828",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44636",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G0667",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grants, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.