Yenna Chin, PA-C
Individual provider Active NPI Physician Assistant · Sedona, AZ
NPI 1134626534 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1134626534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9814 (AZ)
- Practice address
- 2030 W State Route 89a Ste B4
Sedona, AZ 86336-5407 - Phone
- (928) 202-9187
- NPI assigned
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Presbyterian Healthcare Services
Practice addresses (Care Compare)
4588 Paradise Blvd NW
Albuquerque, NM 87114-4105
Phone (505) 998-1717
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125004494 | NM | Practitioner - Physician Assistant | 1557618998 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9814 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Tribe Wellness Group PLLC | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients | |
| Canyonlands Community Health Care | Past | Accepting new patients | |
| Canyonlands Community Health Care | Past | Accepting new patients | |
| Canyonlands Community Health Care | Past | Accepting new patients |
Locations
2030 W State Route 89A
Ste B4
Sedona, AZ 86336
Phone (928) 202-9187
4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- ychin270014@direct.phs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA7901 | MA | |
| Physician Assistant | 363A00000X | 9814 | AZ | Yes |
Addresses
Primary practice location
2030 W State Route 89a Ste B4
Sedona, AZ 86336-5407
Mailing address
2030 W State Route 89a Ste B4
Sedona, AZ 86336-5407
Other providers in Sedona, AZ
- James Daniel Cates
- Cathedral Rock Emergency Physicians LLC
- Nichole Cea
- Charla Johansen- Nurse Practitioner
- Eugene M.R. Charlebois
- Chirofit Corporation
- Choices Integrative Healtcare of Sedona
- Choices Integrative Health Care
- Kathryn Marie Roth Chorlton
- Christopher Warren
All providers in Sedona, AZ · Physician Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.