Active NPI
Kristy D Yentes, FNP-BC, NP-C
- Family Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1124381371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11012887
- Practice address
- 13782 Plantation Rd Ste 201
Fort Myers, FL 33912-4462 - Phone
- (239) 343-1100
- Fax
- (239) 343-1101
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11012887 | FL | Primary |
| Family Nurse Practitioner | 363LF0000X | 16800 | TN |
Addresses
Primary practice location
13782 Plantation Rd Ste 201
Fort Myers, FL 33912-4462
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112383000 | Medicaid | FL |
Other names 1
- Kristy Lynn Dyer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristy.yentes.1@4692.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2071
1605 Nashville Hwy
Suite 200
Columbia, TN 38401-2132
Hospital & facility affiliations
- NHC Homecare of Columbia
- Maury Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Medical Professionals, P.C. | Past | Accepting new patients | |
| Northside Medical Professionals, P.C. | Past | Accepting new patients | |
| Northside Medical Professionals, P.C. | Past | Accepting new patients |
Interoperability endpoints
- kristy.yentes.1@4692.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/HAJABA
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.
-
- Family Medicine Physician
- Columbia, TN
- NPI 1295044097
-
- Family Medicine Physician
- Lawrenceburg, TN
- NPI 1275399594
-
- Family Medicine Physician
- Pulaski, TN
- NPI 1588420814
-
- Family Medicine Physician
- Lewisburg, TN
- NPI 1982460200
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, TN
- NPI 1861479545
-
- Home Health Agency
- Dickson, TN
- NPI 1164448437
-
- Home Health Agency
- Lewisburg, TN
- NPI 1205852589
-
- Home Health Agency
- Columbia, TN
- NPI 1669498937
-
- Home Health Agency
- Pulaski, TN
- NPI 1730105016
-
- Home Health Agency
- Lawrenceburg, TN
- NPI 1962428243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1124381371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-1100",
"fax_number": "239-343-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13782 PLANTATION RD STE 201",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124462",
"telephone_number": "239-343-1100",
"fax_number": "239-343-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YENTES",
"first_name": "KRISTY",
"middle_name": "D",
"credential": "FNP-BC, NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11012887",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "16800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112383000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristy.yentes.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "6101 Pine Ridge Rd # Desk11",
"city": "Naples",
"state": "FL",
"country_code": "US",
"postal_code": "341193900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "DYER",
"middle_name": "LYNN",
"credential": "NP-C, FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.