Individual provider Active NPI

Dustin Richard Yoder

  • Certified Registered Nurse Anesthetist
  • Erie, PA
National Provider Identifier
1043913890
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN719106 Issued in PA
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

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
RN719106OtherPA RN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yoderdr2@upmc.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240516004245 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163863416 Reassigns benefits to 2 organizations
I20241112003264 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163863416 Reassigns benefits to 1 organization
I20260514004210 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163863416 Reassigns benefits to 1 organization

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
North American Partners in Anesthesia, Pennsylvania , LLCGroup PAC ID 7517960834, 302 clinicians
Premier Anesthesia of New York, P.C.Group PAC ID 7719041102, 50 clinicians
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

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 Hospital, Jamestown, NY, CCN 330239
  • Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
  • Upmc Hamot Hospital, Erie, PA, CCN 390063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN719106PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince May 10, 2024 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Jun 11, 2024 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.

Hospital & facility affiliations 5

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

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.

Verify at the official NPI Registry.