Individual provider Active NPI

Rene Javier Rodriguez Yanes, FNP-BC

  • Family Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1154296572
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.015658 Issued in CT
Practice address
494 Elm St
Stamford, CT 06902-5115
Phone
(203) 325-0200
NPI assigned
Oct 7, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0042366 OH
Family Nurse Practitioner 363LF0000X 12.015658 CT Primary
Nurse Practitioner 363L00000X 209036268 IL

Addresses

Primary practice location

494 Elm St
Stamford, CT 06902-5115

Mailing address

39 Hollow Tree Rd
Norwalk, CT 06854-2815
Phone (475) 333-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, TX, FL, OH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20251229003819 CT Practitioner - Nurse Practitioner 6800382805 Reassigns benefits to 1 organization
I20260223000642 NY Practitioner - Nurse Practitioner 6800382805 Reassigns benefits to 2 organizations
I20260527002525 TX Practitioner - Nurse Practitioner 6800382805 Reassigns benefits to 1 organization
I20260615004056 FL Practitioner - Nurse Practitioner 6800382805 Reassigns benefits to 1 organization
I20260622001355 OH Practitioner - Nurse Practitioner 6800382805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

39 Hollow Tree Rd
Norwalk, CT 06854-2815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.015658CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Whole Health of New York, Inc CurrentSince Feb 13, 2026 Accepting new patients
Molina Healthcare of New York, Inc. Nurse Practitioner CurrentSince Feb 13, 2026 Accepting new patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Jan 26, 2026 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

2900 Exterior St
Ste 202
Bronx, NY 10463
Phone (607) 238-5357

15 Metrotech Ctr
Fl 11
Brooklyn, NY 11201
Phone (718) 923-7100

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

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.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1154296572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HOLLOW TREE RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542815",
            "telephone_number": "475-333-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 ELM ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069025115",
            "telephone_number": "203-325-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ YANES",
        "first_name": "RENE",
        "middle_name": "JAVIER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0042366",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.015658",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209036268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.