Individual provider Active NPI

Stefanie Yearian, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oskaloosa, IA
National Provider Identifier
1053372029
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G103121 Issued in IA
Practice address
1229 C Ave E
Oskaloosa, IA 52577-4246
Phone
(641) 672-3259
Fax
(641) 672-3259
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 683531 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G103121 IA Primary

Addresses

Primary practice location

1229 C Ave E
Oskaloosa, IA 52577-4246

Mailing address

1229 C Ave E
Oskaloosa, IA 52577-4246
Phone (641) 672-3259

Other identifiers 1

IdentifierTypeStateIssuer
0473769MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20050811000874 IA Practitioner - Nurse Practitioner 3678502382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians

Practice addresses (Care Compare)

23019 Hwy 149
Sigourney, IA 52591-8341
Phone (641) 622-2720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16582CAMDAcupuncturist
683531CAMDPsychiatric/Mental Health Nurse Practitioner
G103121IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Jun 1, 2019 Accepting new patients
Keokuk County Health Center CurrentSince Jun 1, 2019 Accepting new patients
Keokuk County Health Center Past Accepting new patients
Grace C Mae Advocate Center PastSince Dec 5, 2021 Accepting new patients

Locations

1314 S Stuart St
Sigourney, IA 52591
Phone (641) 622-3840

1314 S Stuart St
Ste B
Sigourney, IA 52591
Phone (641) 622-1148

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458

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 2

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1053372029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3259",
            "fax_number": "641-672-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774246",
            "telephone_number": "641-672-3259",
            "fax_number": "641-672-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARIAN",
        "first_name": "STEFANIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "683531",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G103121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473769",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.