NPIMap

Individual provider Active NPI

Kyle David Yebernetsky, M.D.

  • Emergency Medicine Physician
  • Jersey Shore, PA
National Provider Identifier
1235592593
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD466061 Issued in PA
Practice address
1020 Thompson St
Jersey Shore, PA 17740-1729
Phone
(570) 398-0100
Fax
(570) 398-4412
NPI assigned
Apr 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD466061 PA Primary

Addresses

Primary practice location

1020 Thompson St
Jersey Shore, PA 17740-1729

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190524001128 PA Practitioner - Emergency Medicine 7810284635 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
Brookville HospitalGroup PAC ID 3072579598, shared by 11 NPIs, 45 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Elk Regional Health CenterGroup PAC ID 7517870512, 47 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 849-2312

1020 Thompson St
Jersey Shore, PA 17740-1729
Phone (570) 398-3113

763 Johnsonburg Rd
Saint Marys, PA 15857-3417
Phone (814) 788-8595

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J C Blair Memorial Hospital Current Accepting new patients
Geisinger Jersey Shore Hospital Current Accepting new patients
Elk Regional Health Center CurrentSince Aug 1, 2024 Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Sep 12, 2024 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2019 Accepting new patients
Dubois Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Elk Regional Health Center Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
J C Blair Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 21, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Jan 21, 2022 Accepting new patients
J C Blair Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
Brookville Hospital Emergency Medicine CurrentSince Sep 12, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2019 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 N Academy Ave
Danville, PA 17822

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Interoperability endpoints

  • Direct secure messaging: kyebernetsky133040@direct.geisinger.edu

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1235592593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 THOMPSON ST",
            "city": "JERSEY SHORE",
            "state": "PA",
            "postal_code": "177401729",
            "telephone_number": "570-398-0100",
            "fax_number": "570-398-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEBERNETSKY",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD466061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Shore, PA

Sources for this page

Verify at the official NPI Registry.