Individual provider Active NPI

Yaso M Jayawardhana, NP

  • Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1265867774
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2013033431 Issued in MO
Practice address
1020 McIntosh Cir
Suite 102
Joplin, MO 64804-3642
Phone
(417) 781-6844
Fax
(417) 781-5024
NPI assigned
Sep 4, 2013
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2013033431 MO Primary

Addresses

Primary practice location

1020 McIntosh Cir
Suite 102
Joplin, MO 64804-3642

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 781-6844

Other names 1

  • Yaso M Jayawardhana Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20140306001947 MO Practitioner - Nurse Practitioner 4486884798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians
Freeman Neosho HospitalGroup PAC ID 4284624552, shared by 6 NPIs, 43 clinicians

Practice addresses (Care Compare)

1020 McIntosh Cir
Suite 102
Joplin, MO 64804-3689
Phone (417) 781-6844

336 S Jefferson St
Freeman Neosho Physician Group
Neosho, MO 64850-1769
Phone (417) 455-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013033431MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Neosho Hospital Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Nov 11, 2024 Accepting new patients
Freeman Neosho Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078

336 S Jefferson St
Neosho, MO 64850
Phone (417) 451-4200

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 3

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": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1265867774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-781-6844",
            "fax_number": "417-781-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MCINTOSH CIR",
            "address_2": "SUITE 102",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043642",
            "telephone_number": "417-781-6844",
            "fax_number": "417-781-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAWARDHANA",
        "first_name": "YASO",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2013033431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YASO",
            "last_name": "JAYAWARDHANA",
            "middle_name": "M",
            "credential": "NP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.