Individual provider Active NPI

Sarah Grace Yanulis, FNP-BC

  • Family Nurse Practitioner
  • Andover, MA
National Provider Identifier
1073363172
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2341436 Issued in MA
Practice address
323 Lowell St Ste 302
Andover, MA 01810-4659
Phone
(978) 475-2731
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2341436 MA Primary
Ambulatory Women's Health Care Registered Nurse 163WW0101X RN2341436 MA

Addresses

Primary practice location

323 Lowell St Ste 302
Andover, MA 01810-4659

Mailing address

142 Forest St
Duxbury, MA 02332-2954
Phone (781) 405-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240918004070 MA Practitioner - Nurse Practitioner 2567903446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andover Obstetrics and Gynecological Associates PCGroup PAC ID 0345224648, 11 clinicians

Practice addresses (Care Compare)

323 Lowell St
Suite 302
Andover, MA 01810-4659
Phone (978) 475-2731

Hospital & facility affiliations

  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2341436MAMDAmbulatory Women's Health Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Obstetrics and Gynecological Associates, PC CurrentSince Sep 1, 2024 Accepting new patients

Locations

140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616

1 General St
Bsmt
Lawrence, MA 01841
Phone (978) 685-1594

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IADFBA/Endpoint/IADFBA

Organizations & group practices 1

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 1

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1073363172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 FOREST ST",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023322954",
            "telephone_number": "781-405-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST STE 302",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104659",
            "telephone_number": "978-475-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANULIS",
        "first_name": "SARAH",
        "middle_name": "GRACE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2341436",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "MA",
            "license": "RN2341436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.