Active NPI
Yenna Chin, PA-C
- Physician Assistant
- Sedona, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9814
- Practice address
- 2030 W State Route 89a Ste B4
Sedona, AZ 86336-5407 - Phone
- (928) 202-9187
- NPI assigned
- Apr 11, 2018
- Last updated
- Aug 29, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA7901 | MA | |
| Physician Assistant | 363A00000X | 9814 | AZ | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4588 Paradise Blvd NW
Albuquerque, NM 87114-4105
Phone (505) 998-1717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9814 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tribe Wellness Group PLLC | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Canyonlands Community Health Care | Past | 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 |
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
Organizations & group practices 7
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.
-
dba Presbyterian Medical Group
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Neurology Physician
- Cottonwood, AZ
- NPI 1073004339
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Canyonlands Health Care - Clifton
- Federally Qualified Health Center (FQHC)
- Clifton, AZ
- NPI 1134568660
-
dba Chilchinbeto Clinic
- Community Health Clinic/Center
- Chilchinbeto, AZ
- NPI 1154380392
-
dba Canyonlands Healthcare - Adams Chiropractic
- Federally Qualified Health Center (FQHC)
- Page, AZ
- NPI 1457187981
-
dba Espanola Hospital
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1134626534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 W STATE ROUTE 89A STE B4",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 W STATE ROUTE 89A STE B4",
"city": "SEDONA",
"state": "AZ",
"postal_code": "863365407",
"telephone_number": "928-202-9187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "YENNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA7901",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sedona, AZ
- James Daniel Cates, M.D.
- Cathedral Rock Emergency Physicians LLC
- Nichole Cea, LMT
- Charla Johansen- Nurse Practitioner
- Eugene M.R. Charlebois, DO
- Chirofit Corporation
- Choices Integrative Healtcare of Sedona
- Choices Integrative Health Care
- Kathryn Marie Roth Chorlton, LMT, RSMT
- Christopher Warren (Sedona Med Plus)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.