NPIMap

Individual provider Active NPI

Jill Rebecca Yandle, AGNP-C

  • Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1083133417
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009884 Issued in NC
Practice address
1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105
Phone
(704) 264-3500
Fax
(704) 264-1393
NPI assigned
Sep 18, 2017
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X YAND-15X4Y2 NC
Nurse Practitioner 363L00000X 5009884 NC Primary

Addresses

Primary practice location

1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 264-3500

Other practice location 1

911 W Henderson St Ste 230
Salisbury, NC 28144-2700
Phone (704) 633-9620

Other practice location 2

911 W Henderson St Ste 230
Salisbury, NC 28144-2700
Phone (704) 633-9620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyandle524802@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180122002828 NC Practitioner - Nurse Practitioner 2769741610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

1401 Matthews Township Pkwy
Suite 110
Matthews, NC 28105-5403
Phone (704) 264-3500

1640 E Roosevelt Blvd
Monroe, NC 28112-4017
Phone (704) 226-0500

301 Hawthorne LN
Suite 200
Charlotte, NC 28204-2467
Phone (704) 316-5100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009884NCMDNurse Practitioner
YAND-15X4Y2NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 12, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 20, 2017 Accepting new patients
The Presbyterian Hospital CurrentSince Nov 20, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Nov 20, 2017 Accepting new patients
The Presbyterian Hospital CurrentSince Nov 20, 2017 Accepting new patients
Novant Medical Group, Inc. Past Accepting new patients

Locations

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

911 W Henderson St
Ste 230
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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 11

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1083133417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-264-3500",
            "fax_number": "704-264-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 110",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-264-3500",
            "fax_number": "704-264-1393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 W Henderson St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442700",
            "country_code": "US",
            "telephone_number": "704-633-9620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 W Henderson St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442700",
            "country_code": "US",
            "telephone_number": "704-633-9620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANDLE",
        "first_name": "JILL",
        "middle_name": "REBECCA",
        "name_prefix": "Miss",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "YAND-15X4Y2",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyandle524802@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "911 W Henderson St Ste 230",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281442700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.