Active NPI
Dustin Richard Yoder
- Certified Registered Nurse Anesthetist
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN719106
- Practice address
- 201 State St
Erie, PA 16550-0002 - Phone
- (814) 877-2938
- NPI assigned
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN719106 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | RN719106 | PA | Primary |
Addresses
Primary practice location
201 State St
Erie, PA 16550-0002
Mailing address
912 W 23Rd St
Erie, PA 16502-2421
Phone (814) 664-0783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN719106 | Other | PA RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | yoderdr2@upmc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY, MA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
206 E Brown St
East Stoudsburg, PA 18301-3006
Phone (570) 421-4000
207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 487-0141
232 W 25TH St
Ahn Saint Vincent Anesthesia
Erie, PA 16544-0002
Phone (814) 452-5000
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Upmc Chautauqua at Wca
- Saint Vincent Hospital
- Upmc Hamot
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN719106 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of New York, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Vincent Medical Education and Research Institute Inc | Current | Accepting new patients |
Locations
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
155 E State St
Albion, PA 16401
Phone (814) 756-4917
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
312 W 25th St
Erie, PA 16502
Phone (814) 452-5309
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
201 State St
Erie, PA 16550
Phone (814) 877-2137
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Saranac Lake, NY
- NPI 1063658961
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
- General Acute Care Hospital
- Jamestown, NY
- NPI 1770573222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1043913890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 W 23RD ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165022421",
"telephone_number": "814-664-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "DUSTIN",
"middle_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-22",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN719106",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN719106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA RN LICENSE",
"identifier": "RN719106",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "yoderdr2@upmc.edu",
"affiliation": "N",
"endpointDescription": "yoderdr2@upmc.edu",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "201 State St",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165500002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.