Individual provider Active NPI

Yolanda L Hoag, ACNPC-AG

  • Acute Care Nurse Practitioner
  • East Saint Louis, IL
National Provider Identifier
1053815423
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
209024581 Issued in IL
Practice address
2001 State St
East Saint Louis, IL 62205-1803
Phone
(618) 271-9191
Fax
(618) 271-9617
NPI assigned
Mar 21, 2018
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209024581 IL
Acute Care Nurse Practitioner 363LA2100X 0024175810 VA
Acute Care Nurse Practitioner 363LA2100X 209024581 IL Primary

Addresses

Primary practice location

2001 State St
East Saint Louis, IL 62205-1803

Mailing address

2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191

Other practice location 1

4600 Puddledock Rd
Prince George, VA 23875
Phone (804) 704-8655

Other practice location 2

301 Halifax St
Petersburg, VA 23803-6335
Phone (804) 863-1652

Other practice location 3

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Other names 1

  • Yolanda L Hoag Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address yolanda.hoag.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20220118002698 IL Practitioner - Nurse Practitioner 5799032207 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Inpatient Anderson Health IncGroup PAC ID 3072908474, 46 clinicians

Practice addresses (Care Compare)

2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191

2166 Madison Ave
Granite City, IL 62040-4700
Phone (618) 332-0953

6000 Bond Ave
Centreville, IL 62207-2328
Phone (618) 332-2740

6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209024581ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Dec 1, 2022 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Feb 7, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Fairview Heights Medical Group SC Current Accepting new patients
Chess Medicine PLLC CurrentSince May 30, 2023 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince May 16, 2024 Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince May 16, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Feb 7, 2024 Accepting new patients
Southside Kidney Specialists PastSince Feb 17, 2020 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Interoperability endpoints

  • Direct secure messaging: yolanda.hoag.1@9559.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1053815423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051803",
            "telephone_number": "618-271-9191",
            "fax_number": "618-271-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051803",
            "telephone_number": "618-271-9191",
            "fax_number": "618-271-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Puddledock Rd",
            "address_purpose": "LOCATION",
            "city": "Prince George",
            "state": "VA",
            "postal_code": "23875",
            "country_code": "US",
            "telephone_number": "804-704-8655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Halifax St",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238036335",
            "country_code": "US",
            "telephone_number": "804-863-1652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAG",
        "first_name": "YOLANDA",
        "middle_name": "L",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024581",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024175810",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209024581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yolanda.hoag.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2001 State St",
            "city": "East Saint Louis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622051803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "HOAG",
            "middle_name": "L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Saint Louis, IL

Sources for this page

Verify at the official NPI Registry.