Individual provider Active NPI

Yvonne Perle Treece, M.D.

  • Obstetrics & Gynecology Physician
  • Pocatello, ID
National Provider Identifier
1255520599
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2008013988 Issued in MO
Practice address
500 S 11TH Ave Ste 204
Pocatello, ID 83201-4878
Phone
(208) 232-7862
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 43055 TN
Obstetrics & Gynecology Physician 207V00000X 2008013988 MO Primary

Addresses

Primary practice location

500 S 11TH Ave Ste 204
Pocatello, ID 83201-4878

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 323-7862

Other practice location 1

5701 Delmar Blvd
Saint Louis, MO 63112
Phone (314) 367-7848

Other identifiers 1

IdentifierTypeStateIssuer
APPLIEDMedicaidTN

Other names 1

  • Yvonne Perle Gordon Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ytreece44891@lickingmemorial.medicity.net Licking Memorial Health Professionals

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, WY, WA, OH, IA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210915002300 SD Practitioner - Obstetrics/Gynecology 4183706690 Reassigns benefits to 1 organization
I20230602001088 WY Practitioner - Obstetrics/Gynecology 4183706690 Reassigns benefits to 2 organizations
I20241009002812 WA Practitioner - Obstetrics/Gynecology 4183706690 Reassigns benefits to 1 organization
I20251222002680 OH Practitioner - Obstetrics/Gynecology 4183706690 Reassigns benefits to 1 organization
I20260428000944 IA Practitioner - Obstetrics/Gynecology 4183706690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
East Tennessee State University Quillen College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Memorial Health ProfessionalsGroup PAC ID 6204740731, 235 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

15 Messimer Dr
Newark, OH 43055-1841
Phone (220) 564-7970

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

Hospital & facility affiliations

  • Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43055TNMDSpecialist
2008013988MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Regional Medical Center Inc CurrentSince Aug 1, 2021 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 CurrentSince Sep 1, 2024 Accepting new patients
Licking Memorial Professional Corporation CurrentSince Dec 10, 2025 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Sep 1, 2024 Accepting new patients
Banner Health Physicians West LLC CurrentSince Aug 17, 2025 Accepting new patients
Banner Health Physicians West LLC CurrentSince Aug 17, 2025 Accepting new patients
Platte County Hospital CurrentSince Jun 2, 2023 Accepting new patients
Platte County Hospital Current Accepting new patients
Platte County Hospital CurrentSince Jun 2, 2023 Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
Licking Memorial Health Professionals CurrentSince Dec 10, 2025 Accepting new patients
Licking Memorial Hospital Past Accepting new patients
Broadlawns Medical Center Past Accepting new patients

Locations

15 Messimer Dr
Newark, OH 43055
Phone (220) 564-4677

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

142 3rd St SE
Huron, SD 57350
Phone (605) 352-2229

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

12303 NE 130th Ln
Ste 420
Kirkland, WA 98034
Phone (425) 899-6400

12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Interoperability endpoints

  • Direct secure messaging: ytreece@yourcarecommunity.org

Organizations & group practices 14

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 14

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1255520599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-323-7862",
            "fax_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 204",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014878",
            "telephone_number": "208-232-7862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Delmar Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63112",
            "country_code": "US",
            "telephone_number": "314-367-7848",
            "fax_number": "314-367-2985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREECE",
        "first_name": "YVONNE",
        "middle_name": "PERLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "43055",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2008013988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ytreece44891@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "affiliationName": "Licking Memorial Health Professionals",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "GORDON",
            "middle_name": "PERLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.