Individual provider Active NPI

Yolande Alexandre, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, TN
National Provider Identifier
1174859698
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28155 Issued in TN
Practice address
620 Skyline Dr
Jackson, TN 38301-3923
Phone
(731) 541-7070
NPI assigned
Oct 19, 2009
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000231808 TN
Certified Registered Nurse Anesthetist 367500000X 28155 TN Primary
Registered Nurse 163W00000X 619715 NY
Certified Registered Nurse Anesthetist 367500000X 619715 NY
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

620 Skyline Dr
Jackson, TN 38301-3923

Mailing address

8 Thackery PL
Jackson, TN 38305-1790
Phone (516) 474-1785

Other practice location 1

8 Thackery Pl
Jackson, TN 38305
Phone (516) 474-1785

Other practice location 2

121 Dekalb Ave
Brooklyn, NY 11201-5493
Phone (718) 508-0002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201108000025 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032529771 Reassigns benefits to 1 organization
I20210528000749 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032529771 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Anesthesia Services, P.C.Group PAC ID 0840383857, 47 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0000231808TNMDRegistered Nurse
619715NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Anesthesiology, PC CurrentSince Jul 7, 2021 Accepting new patients
Medical Center Anesthesia Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Upstate Anesthesia Services, P.C. CurrentSince Jul 1, 2021 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince May 30, 2025 Accepting new patients
Long Island Anesthesia Physicians LLP CurrentSince Jul 1, 2021 Accepting new patients

Locations

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

8745 Lake Street Rd
Le Roy, NY 14482
Phone (585) 267-7570

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

27 Medical Center Dr
Ste 2
Jackson, TN 38301
Phone (731) 426-0310

620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1174859698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 THACKERY PL",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051790",
            "telephone_number": "516-474-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013923",
            "telephone_number": "731-541-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Thackery Pl",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "38305",
            "country_code": "US",
            "telephone_number": "516-474-1785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015493",
            "country_code": "US",
            "telephone_number": "718-508-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDRE",
        "first_name": "YOLANDE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000231808",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "28155",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "619715",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "619715",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.