Active NPI
Carol Yacula, NURSE PRACTITIONER
- Nurse Practitioner
- Rehoboth Beach, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LP-0010758
- Practice address
- 18947 John J Williams Hwy Unit 101
Rehoboth Beach, DE 19971-4480 - Phone
- (302) 645-3770
- Fax
- (302) 645-5718
- NPI assigned
- Oct 31, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LP-0010758 | DE | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 10019605 | OR | |
| Adult Health Nurse Practitioner | 363LA2200X | 2016017862 | MO |
Addresses
Primary practice location
18947 John J Williams Hwy Unit 101
Rehoboth Beach, DE 19971-4480
Mailing address
1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 645-3499
Other practice location 1
6420 Clayton Rd
Clayton, MO 63117-1811
Phone (314) 645-3370
Other practice location 2
3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-6594
Other practice location 3
1011 Bowles Ave Ste G50
Fenton, MO 63026-0562
Phone (636) 496-4640
Other practice location 4
32750 Roxana Rd
Millville, DE 19967-6980
Phone (302) 645-3770
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cyacula196861@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
18947 John J Williams Hwy
Tunnel Cancer Center
Rehoboth Beach, DE 19971-4480
Phone (302) 645-3770
424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3300
Hospital & facility affiliations
- Beebe Medical Center
- Tidalhealth Nanticoke, Inc.
- Tidalhealth Peninsula Regional, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0010758 | DE | MD | Nurse Practitioner |
| 2016017862 | MO | MD | Adult Health Nurse Practitioner |
| 10019605 | OR | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beebe Physician Network Inc. | Current | Accepting new patients | |
| Beebe Medical Center, Inc. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients |
Locations
1515 Savannah Rd
Lewes, DE 19958
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
100 Silicato Pkwy
Milford, DE 19963
Phone (302) 291-6200
100 Silicato Pkwy
Ste 200
Milford, DE 19963
Phone (302) 393-2056
32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302
32750 Roxana Rd
Millville, DE 19967
Phone (302) 645-3770
18947 John J Williams Hwy
Unit 101
Rehoboth Beach, DE 19971
Phone (302) 645-3770
18947 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 645-3010
1011 Bowles Ave
Ste G50
Fenton, MO 63026
Phone (636) 496-4600
400 Medical Plz
Ste 10
Lake St Louis, MO 63367
Phone (636) 625-6052
400 Medical Plz
Ste 100
Lake St Louis, MO 63367
Phone (636) 639-8600
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
Interoperability endpoints
- cyacula22433@beebehealth.direct-ci.com
- cyacula196861@direct-ehr-ssmhc.com
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1730133992
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1336691815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 SAVANNAH RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581675",
"telephone_number": "302-645-3499",
"fax_number": "302-644-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18947 JOHN J WILLIAMS HWY UNIT 101",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "199714480",
"telephone_number": "302-645-3770",
"fax_number": "302-645-5718"
}
],
"practiceLocations": [
{
"address_1": "6420 Clayton Rd",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "MO",
"postal_code": "631171811",
"country_code": "US",
"telephone_number": "314-645-3370",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3303 S Bond Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972394501",
"country_code": "US",
"telephone_number": "503-494-6594",
"fax_number": "503-494-5385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 Bowles Ave Ste G50",
"address_purpose": "LOCATION",
"city": "Fenton",
"state": "MO",
"postal_code": "630260562",
"country_code": "US",
"telephone_number": "636-496-4640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "32750 Roxana Rd",
"address_purpose": "LOCATION",
"city": "Millville",
"state": "DE",
"postal_code": "199676980",
"country_code": "US",
"telephone_number": "302-645-3770",
"fax_number": "302-645-5718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YACULA",
"first_name": "CAROL",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LP-0010758",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OR",
"license": "10019605",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2016017862",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cyacula196861@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cyacula196861@direct-ehr-ssmhc.com",
"address_1": "1011 Bowles Ave Ste G50",
"city": "Fenton",
"state": "MO",
"country_code": "US",
"postal_code": "630260562",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1011 Bowles Ave Ste G50",
"city": "Fenton",
"state": "MO",
"country_code": "US",
"postal_code": "630260562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rehoboth Beach, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.