Trevor Yartz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9072 Issued in MN

Practice address

619 5TH St NW
Bemidji, MN 56601-2914

Phone

(218) 751-4144

Fax

(218) 751-3545

NPI assigned

Jan 26, 2006

Last updated

Apr 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Physician Assistant

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health of Northern MinnesotaGroup PAC ID 5597725168, 349 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Bemidji Home Care and Hospice Home health agency, Bemidji, MN, CCN 247215
• Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100
• Sanford Bagley Medical Center Hospital, Bagley, MN, CCN 241328

Merit-based Incentive Payment System (MIPS)

Final score

86.56 of 100Reported as group

Quality

74.25

Promoting interoperability

100

Improvement activities

40

Cost

76.16

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyartz3192655@direct.sanfordhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sanford Health of Northern Minnesota

  dba Sanford Health Kelliher Clinic

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697
  Medicare reassignment Care Compare group
• Sanford Health of Northern Minnesota

  dba Joe Lueken Cancer Center

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1780628149
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Home Care

  • Home Health Agency
  • Bemidji, MN
  • NPI 1215043633
  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Joe Lueken Cancer Center

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1780628149

  Hospital

  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Medical Center

  • Rural Acute Care Hospital
  • Bemidji, MN
  • NPI 1801870191
  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Sanford Bagley Medical Center

  • Critical Access Hospital
  • Bagley, MN
  • NPI 1932472255
  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1043281397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 5TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012914",
            "telephone_number": "218-751-4144",
            "fax_number": "218-751-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 5TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012914",
            "telephone_number": "218-751-4144",
            "fax_number": "218-751-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARTZ",
        "first_name": "TREVOR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488963100",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tyartz3192655@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "619 5th St NW",
            "city": "Bemidji",
            "state": "MN",
            "country_code": "US",
            "postal_code": "566012914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paula Sue Woods, LICSW
• Audrey Jean Wuori, APRN, CNP, FNP-C
• Mitchell Wyffels, M.D.
• Julie Kay Yaekel-Black Elk, PHD LPCC
• Elizabeth Yartz, PA
• Carolyn Ann Yavarow, APRN, CNP, DNP
• Amanda Corey Yeates
• John P Yingling, LMFT
• Aaron F Yliniemi, BA
• Kristi York, LICSW

• Physician Assistant in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.

Verify at the official NPI Registry.