Heather Yannitto, FNP-C
Individual provider Active NPI Family Medicine Physician · Centreville, MD
NPI 1275101040 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1275101040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R221392 (MD)
- Practice address
- 138 Coursevall Dr
Centreville, MD 21617-1824 - Phone
- (410) 505-7800
- NPI assigned
- Jun 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
138 Coursevall Dr
Centreville, MD 21617-1824
Phone (410) 505-7800
Hospital & facility affiliations
- University of MD Shore Medical Ctr at Chestertown
- University of MD Shore Medical Center at Easton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211207001105 | MD | Practitioner - Nurse Practitioner | 7214327238 | Reassigns benefits to 2 organizations |
| I20220502000030 | DC | Practitioner - Nurse Practitioner | 7214327238 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R221392 | MD | MD | Family Medicine Physician |
| R221398 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management Specialists, LLC | Current |
Accepting new patients | |
| Advanced Pain Management Specialists, LLC | Current |
Accepting new patients | |
| Advanced Pain Management Specialists, LLC | Past | Accepting new patients |
Locations
201 Defense Hwy
Ste 205
Annapolis, MD 21401
810 Bestgate Rd
Ste 220
Annapolis, MD 21401
Phone (800) 997-2460
6410 Rockledge Dr
Ste 421
Bethesda, MD 20817
6602 Church Hill Rd
Ste 550
Chestertown, MD 21620
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R221398 | MD | |
| Family Medicine Physician | 207Q00000X | R221392 | MD | Yes |
Addresses
Primary practice location
138 Coursevall Dr
Centreville, MD 21617-1824
Mailing address
138 Coursevall Dr
Centreville, MD 21617-1824
Phone (410) 505-7800
Other practice location 1
120 Sallitt Dr Ste D
Stevensville, MD 21666-2154
Phone (855) 527-7246
Other practice location 2
6602 Church Hill Rd Ste 550
Chestertown, MD 21620-2323
Phone (855) 527-7246
Other providers in Centreville, MD
- Lisa Simone Webster
- Rebekah Burgess Weymes
- Frances Huntley Williams-Crawford
- Kimberly Patrice Wilson
- Rebecca Wright
- Shelby Ann Young
All providers in Centreville, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.