Individual provider Active NPI

Yanet Acosta, M.D

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1184911067
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
137417 Issued in FL
Practice address
4525 Thomasson Dr
Naples, FL 34112-6962
Phone
(239) 354-6500
NPI assigned
Jun 29, 2011
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.135636 IL
Family Medicine Physician 207Q00000X 137417 FL Primary

Addresses

Primary practice location

4525 Thomasson Dr
Naples, FL 34112-6962

Mailing address

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4221

Other practice location 1

353 E Burlington St
Suite 202
Riverside, IL 60546-2189
Phone (708) 442-7174

Other practice location 2

3100 Oak Park Ave Ste 1S
Berwyn, IL 60402-4177
Phone (708) 317-4422

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yanet.acosta.1@4692.direct.athenahealth.com

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
I20181205002733 FL Practitioner - Family Practice 3870713597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Collier Hma Physician Management LLCGroup PAC ID 2769495167, 99 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

130 Moorings Park Dr
Naples, FL 34105-2122

6101 Pine Ridge Rd
Naples, FL 34119-3900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137417FLMDFamily Medicine Physician
036.135636ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Hma Physician Management LLC Family Medicine CurrentSince Jan 12, 2022 Accepting new patients
Collier Hma Physician Management LLC CurrentSince Jan 12, 2022 Accepting new patients

Locations

1839 San Marco Rd
Marco Island, FL 34145
Phone (239) 394-1670

4525 Thomasson Dr
Naples, FL 34112
Phone (239) 348-4421

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6376 Pine Ridge Rd
Naples, FL 34119
Phone (239) 239-4221

6376 Pine Ridge Rd
Unit 200
Naples, FL 34119
Phone (615) 465-7211

8340 Collier Blvd
Ste 204
Naples, FL 34114
Phone (239) 348-4120

8340 Collier Blvd
Ste 406
Naples, FL 34114
Phone (239) 354-4316

Interoperability endpoints

  • Direct secure messaging: yanet.acosta.2@4692.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1184911067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-348-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 THOMASSON DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126962",
            "telephone_number": "239-354-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 E Burlington St",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "IL",
            "postal_code": "605462189",
            "country_code": "US",
            "telephone_number": "708-442-7174",
            "fax_number": "708-443-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Oak Park Ave Ste 1S",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604024177",
            "country_code": "US",
            "telephone_number": "708-317-4422",
            "fax_number": "708-317-4428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "YANET",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.135636",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "137417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yanet.acosta.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "6101 Pine Ridge Rd",
            "city": "Naples",
            "state": "FL",
            "country_code": "US",
            "postal_code": "341193900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.