Individual provider Active NPI

Coleen Yahl, FNP-C, WCC

  • Primary Care Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1235703364
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
281095 Issued in AZ
Practice address
31133 N Line Dr
Queen Creek, AZ 85144-4311
Phone
(480) 712-6950
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 281095 AZ Primary
Registered Nurse 163W00000X RN206013 AZ

Addresses

Primary practice location

31133 N Line Dr
Queen Creek, AZ 85144-4311

Mailing address

31133 N Line Dr
Queen Creek, AZ 85144-4311
Phone (480) 712-6950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230209001604 AZ Practitioner - Nurse Practitioner 6800268392 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN206013AZMDRegistered Nurse
281095AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Link Medical Inc CurrentSince Oct 23, 2025 Accepting new patients
Vitality Foot and Ankle Institute PLLC CurrentSince Jan 29, 2024 Accepting new patients
Dermal Wound Wizards LLC CurrentSince Jan 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Mar 30, 2023 Accepting new patients
Link Medical Inc CurrentSince Oct 23, 2025 Accepting new patients

Locations

1555 Ramar Rd
Bullhead City, AZ 86442
Phone (702) 960-6930

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

6710 N 47th Ave
Glendale, AZ 85301
Phone (323) 717-7707

6710 N 47th Ave
Ste 4
Glendale, AZ 85301

6710 N 47th Ave
Ste 8
Glendale, AZ 85301
Phone (623) 842-3077

26900 N Lake Pleasant Pkwy
Ste 202
Peoria, AZ 85383
Phone (623) 254-7111

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: coleen.yahl.1@24172.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1235703364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31133 N LINE DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851444311",
            "telephone_number": "480-712-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31133 N LINE DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851444311",
            "telephone_number": "480-712-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHL",
        "first_name": "COLEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, WCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "281095",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN206013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.