Individual provider Active NPI

Agnes Marie Yahl, FNP

  • Family Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1023089190
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123643 Issued in TX
Practice address
2101 Mulberry Ave
Mount Pleasant, TX 75455-1105
Phone
(903) 434-4850
Fax
(903) 434-4899
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1342 AZ
Family Nurse Practitioner 363LF0000X 2023013501 MO
Family Nurse Practitioner 363LF0000X 123643 TX Primary

Addresses

Primary practice location

2101 Mulberry Ave
Mount Pleasant, TX 75455-1105

Mailing address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Other identifiers 1

IdentifierTypeStateIssuer
623688MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130829000304 TX Practitioner - Nurse Practitioner 4183651128 Reassigns benefits to 3 organizations
I20230710001117 MO Practitioner - Nurse Practitioner 4183651128 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucp Physicians of Central Texas, PLLCGroup PAC ID 3173697935, 99 clinicians

Practice addresses (Care Compare)

1201 Hewitt Dr
Suite 203
Waco, TX 76712-8834
Phone (254) 666-3627

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

5400 Crosslake Pkwy
Suite 300
Waco, TX 76712-6512
Phone (254) 247-1450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1342AZMDFamily Nurse Practitioner
2023013501MOMDFamily Nurse Practitioner
123643TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jul 3, 2023 Accepting new patients
Scott & White Clinic CurrentSince Feb 25, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 3, 2023 Accepting new patients
Scott & White Clinic CurrentSince Feb 25, 2022 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Jul 3, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Jul 1, 2024 Accepting new patients
Hillcrest Family Health Center CurrentSince Jun 29, 2015 Accepting new patients
Altea Medical Missouri LLC CurrentSince Jul 7, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

104 E US Highway 60
Mountain View, MO 65548
Phone (417) 934-1738

430 N West St
Perryville, MO 63775
Phone (273) 547-1011

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1023089190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MULBERRY AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754551105",
            "telephone_number": "903-434-4850",
            "fax_number": "903-434-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHL",
        "first_name": "AGNES",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1342",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023013501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "123643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623688",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.