Nancy J Yankovic, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

10021317 Issued in OR

Practice address

4380 Cherry Ave NE
Keizer, OR 97303-4855

Phone

(907) 841-0849

NPI assigned

Jan 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

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  • Infectious Disease Physician
  • Plymouth, MI
  • NPI 1841530250
  NPD (past)

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1023870839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 GIBSONWOODS CT NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973041752",
            "telephone_number": "907-841-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 CHERRY AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034855",
            "telephone_number": "907-841-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKOVIC",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "10021317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Wood-Boen, RN
• Sara Rachel Worthington
• WVP Medical Group, LLC
• Jessica Kabao Xiong, MA, LPC, NLC
• Michelle Alexandria Gowan Yang, LPC INTERN
• Jacqueline Yepes, INTERPRETER
• Gail A Young
• Mackenzie Susann Young
• Yvonne Young
• Amy Yu

• Adult Health Nurse Practitioner in Keizer, OR
• Providers in Keizer, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.