Individual provider Active NPI

Yelenis Fuertes Yanes

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1174059406
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME145263 Issued in FL
Practice address
6832 14TH St W Unit 3
Bradenton, FL 34207-5866
Phone
(941) 297-2022
NPI assigned
May 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME145263 FL Primary

Addresses

Primary practice location

6832 14TH St W Unit 3
Bradenton, FL 34207-5866

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

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
I20200709002192 FL Practitioner - Internal Medicine 6002151164 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC Internal Medicine CurrentSince Oct 8, 2021 Accepting new patients
Archwell Health Medical of Florida, LLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

6832 14th St W
Unit 3
Bradenton, FL 34207
Phone (941) 297-2022

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

4501 13th St
Saint Cloud, FL 34769
Phone (321) 294-0583

543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

4650 Westway Park Blvd
Ste 206
Houston, TX 77041
Phone (346) 980-2725

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": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1174059406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 14TH ST W UNIT 3",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342075866",
            "telephone_number": "941-297-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERTES YANES",
        "first_name": "YELENIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME145263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.