Individual provider Active NPI

Yesenia Gianaros, NP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1215429063
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
XXXXXXXXXXXXXXXXXXXX Issued in AZ
Practice address
2400 S Avenue a
Yuma, AZ 85364
Phone
(928) 336-2000
NPI assigned
Jun 6, 2018
Last updated
Sep 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X XXXXXXXXXXXXXXXXXXXX AZ Primary

Addresses

Primary practice location

2400 S Avenue a
Yuma, AZ 85364

Mailing address

7500 N Dreamy Draw Dr Ste 100
Phoenix, AZ 85020-4668
Phone (480) 339-1780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180726001232 AZ Practitioner - Nurse Practitioner 5799032462 Reassigns benefits to 3 organizations
I20241218001267 OR Practitioner - Nurse Practitioner 5799032462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Care and Wellness LLCGroup PAC ID 8921453168, 2 clinicians

Practice addresses (Care Compare)

74 W 2ND St
Yuma, AZ 85364-2250
Phone (928) 257-1223

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
XXXXXXXXXXXXXXXXXXXXAZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group CurrentSince Nov 26, 2021 Accepting new patients
Optimal Care and Wellness LLC CurrentSince Sep 13, 2023 Accepting new patients
Adobe PH PC CurrentSince Dec 12, 2024 Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

74 W 2nd St
Yuma, AZ 85364
Phone (928) 257-1223

8215 SW Tualatin Sherwood Rd
Ste 200
Tualatin, OR 97062
Phone (503) 899-3793

Interoperability endpoints

  • Direct secure messaging: yesenia.gianaros.1@30831.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1215429063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-339-1780",
            "fax_number": "602-357-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-336-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANAROS",
        "first_name": "YESENIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "XXXXXXXXXXXXXXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.