Individual provider Active NPI

Yingna Liu, MD

  • Emergency Medicine Physician
  • Port Saint Lucie, FL
National Provider Identifier
1124657077
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME169248 Issued in FL
Practice address
1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521
Phone
(914) 498-0354
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME169248 FL Primary

Addresses

Primary practice location

1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521

Mailing address

1163 Prescott Dr
Jupiter, FL 33458-8421
Phone (914) 498-0354

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003828 FL Practitioner - Emergency Medicine 2365977360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Duke University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Emergency Physician Services IncGroup PAC ID 5597665372, 20 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000

1800 SE Tiffany Ave
Port Saint Lucie, FL 34952-7521
Phone (772) 335-4000

Hospital & facility affiliations

  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME169248FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Sep 20, 2024 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 3

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 2

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1124657077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 PRESCOTT DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334588421",
            "telephone_number": "914-498-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE TIFFANY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527521",
            "telephone_number": "914-498-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YINGNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME169248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.