Individual provider Active NPI

Janet L Yager, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, NY
National Provider Identifier
1104133206
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401968 Issued in NY
Practice address
2215 Burdett Ave
Troy, NY 12180-2466
Phone
(518) 270-3008
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 336982 NY
Family Nurse Practitioner 363LF0000X F336982 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5661 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401968 NY Primary

Addresses

Primary practice location

2215 Burdett Ave
Troy, NY 12180-2466

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

315 S Manning Blvd Ste 6408A
Albany, NY 12208-1707
Phone (518) 525-1303

Other identifiers 1

IdentifierTypeStateIssuer
02995513MedicaidNY

Other names 1

  • Janet L Ellison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111020000404 NY Practitioner - Nurse Practitioner 5597937334 Reassigns benefits to 1 organization
I20140710000690 CT Practitioner - Nurse Practitioner 5597937334 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336982NYMDNurse Practitioner
F336982NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Mental Health, Inc. Psychiatric/Mental Health CurrentSince Jun 30, 2021 Accepting new patients
The Eden Center for Integrative Care CurrentSince Sep 30, 2023 Accepting new patients
Shannon James Nurse Practitioner in Psychiatry P.C Psychiatric/Mental Health CurrentSince Sep 30, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince May 1, 2022 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients

Locations

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

84 Broad St
Ste 2
Glens Falls, NY 12801
Phone (518) 636-5284

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

239 Golden Hill Ln
Saint Remy, NY 12401
Phone 84534040004189

Interoperability endpoints

  • Direct secure messaging: janet.yager@xdr.hhchealthdirect.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1104133206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802466",
            "telephone_number": "518-270-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd Ste 6408A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAGER",
        "first_name": "JANET",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "336982",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336982",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5661",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "ELLISON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.