Active NPI
Yolanda Cherie Doster Wilkins, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN658782
- Practice address
- 111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824 - Phone
- (215) 955-6161
- Fax
- (215) 923-5507
- NPI assigned
- Jun 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704247083 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | RN658782 | PA | Primary |
Addresses
Primary practice location
111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Mailing address
111 S 11TH St
Suite 8490
Philadelphia, PA 19107-4824
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ywilkins177258@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (419) 291-4491
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704247083 | MI | MD | Certified Registered Nurse Anesthetist |
| RN658782 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Digestive Endoscopy Center of Michigan LLC | Current | Accepting new patients | |
| Promedica Central Corporation of Michigan | Current | Accepting new patients | |
| Radius Anesthesia of Michigan PLLC | Current | Accepting new patients | |
| The Digestive Endoscopy Center of Michigan LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associates in Anesthesia | Past | Accepting new patients |
Locations
5640 N Adrian Hwy
Adrian, MI 49221
Phone (419) 291-3000
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
6240 Rashelle Dr
Ste 101
Flint, MI 48507
Phone (810) 600-4000
31235 Harper Ave
St Clr Shores, MI 48082
Phone (267) 817-8902
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
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.
-
- Anesthesiology Physician
- Saint Clair Shores, MI
- NPI 1578002523
-
- Anesthesiology Physician
- Flint, MI
- NPI 1477861045
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Flint, MI
- NPI 1629173075
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1336375153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "SUITE 8490",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S 11TH ST",
"address_2": "SUITE 8490",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074824",
"telephone_number": "215-955-6161",
"fax_number": "215-923-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINS",
"first_name": "YOLANDA",
"middle_name": "CHERIE DOSTER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704247083",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN658782",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ywilkins177258@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.