NPIMap

Individual provider Active NPI

Christina Yancey, DO

  • Family Medicine Physician
  • Depew, NY
National Provider Identifier
1316325129
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
327263 Issued in NY
Practice address
4893 Transit Rd
Depew, NY 14043-4698
Phone
(716) 608-7040
Fax
(716) 608-7065
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 000 MI
Family Medicine Physician 207Q00000X 327263 NY Primary

Addresses

Primary practice location

4893 Transit Rd
Depew, NY 14043-4698

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (716) 608-7040

Other identifiers 1

IdentifierTypeStateIssuer
0000000000MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240627000665 NY Practitioner - Family Practice 9133471154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Chicago College of Osteopathy, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

4893 Transit Rd
Depew, NY 14043-4698
Phone (716) 608-7040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000MIMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Apr 21, 2024 Accepting new patients
Family Medical Center of Michigan,Inc CurrentSince Sep 10, 2018 Accepting new patients
Family Medical Center of Michigan,Inc CurrentSince Sep 10, 2018 Accepting new patients

Locations

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

8765 Lewis Ave
Temperance, MI 48182

4893 Transit Rd
Depew, NY 14043
Phone (716) 608-7040

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

268 Main St
East Aurora, NY 14052
Phone (716) 652-8606

Interoperability endpoints

  • Direct secure messaging: cyancey@gppc.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1316325129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "716-608-7040",
            "fax_number": "716-608-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434698",
            "telephone_number": "716-608-7040",
            "fax_number": "716-608-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "CHRISTINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "000",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "327263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000000000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

Verify at the official NPI Registry.