Active NPI
Mark A. Yoder, NP
- Family Nurse Practitioner
- Salem, OR
National Provider Identifier
1043268287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10055555
- Practice address
- 875 Oak St SE Ste 4030
Salem, OR 97301-3984 - Phone
- (503) 561-6444
- Fax
- (503) 561-6440
- NPI assigned
- May 4, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10055555 | OR | Primary |
| Family Nurse Practitioner | 363LF0000X | 172032 | MA | |
| Nurse Practitioner | 363L00000X | 172032 | MA |
Addresses
Primary practice location
875 Oak St SE Ste 4030
Salem, OR 97301-3984
Mailing address
875 Oak St SE Ste 4030
Salem, OR 97301-3984
Phone (503) 561-6444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110041072A | Medicaid | MA | |
| 2104849 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.yoder@bmc.org | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172032 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients | |
| Boston University Radiation Oncology, Inc. | Current | Accepting new patients |
Locations
720 Harrison Ave
#503
Roxbury, MA 02118
Phone 6174145404 ext. 2
Interoperability endpoints
- myoder12545@direct.bmc.masshiway.net
Organizations & group practices 2
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.
-
- Radiation Oncology Physician
- Boston, MA
- NPI 1912362351
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1043268287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 OAK ST SE STE 4030",
"city": "SALEM",
"state": "OR",
"postal_code": "973013984",
"telephone_number": "503-561-6444",
"fax_number": "503-561-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 OAK ST SE STE 4030",
"city": "SALEM",
"state": "OR",
"postal_code": "973013984",
"telephone_number": "503-561-6444",
"fax_number": "503-561-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "MARK",
"middle_name": "A.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10055555",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "172032",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "172032",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110041072A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2104849",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mark.yoder@bmc.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Contact",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "830 Harrison Ave",
"address_2": "Moakley LL100",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "02118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.