Active NPI
Rene Javier Rodriguez Yanes, FNP-BC
- Family Nurse Practitioner
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12.015658
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12.015658 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Whole Health of New York, Inc | Current | Accepting new patients | |
| Molina Healthcare of New York, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Molina Care Connections, LLC. | Nurse Practitioner | Current | 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.
-
dba Molina CC
- Nurse Practitioner
- Long Beach, CA
- NPI 1407243223
CT, FL, OH, TX
-
- Nurse Practitioner
- North Syracuse, NY
- NPI 1134622970
-
- Health Maintenance Organization
- New York, NY
- NPI 1548677883
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.