Individual provider Active NPI

Philip R. Yarnell, M.D.

  • Psychiatry Physician
  • Denver, CO
National Provider Identifier
1356388102
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0017668 Issued in CO
Practice address
311 S Williams St
Denver, CO 80209-2636
Phone
(303) 809-9079
Fax
(303) 282-1091
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17668 CO
Psychiatry Physician 2084P0800X 0017668 CO Primary

Addresses

Primary practice location

311 S Williams St
Denver, CO 80209-2636

Mailing address

311 S Williams St
Denver, CO 80209-2636
Phone (303) 809-9079

Other identifiers 1

IdentifierTypeStateIssuer
01176684MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000197 CO Practitioner - Neurology 7719018357 Reassigns benefits to 1 organization
Practice locations: Denver, CO

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York University School of Medicine, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3916 W Conejos PL
Denver, CO 80204-1444
Phone (303) 809-9079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0017668COMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Philip R. Yarnell, M.D., P.C. Specialist Current Accepting new patients
Philip R. Yarnell, M.D., P.C. Specialist CurrentSince Mar 14, 2010 Accepting new patients

Locations

11750 W 2nd Pl
Ste 255
Lakewood, CO 80228
Phone (303) 629-5600

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1356388102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092636",
            "telephone_number": "303-809-9079",
            "fax_number": "303-282-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S WILLIAMS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802092636",
            "telephone_number": "303-809-9079",
            "fax_number": "303-282-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNELL",
        "first_name": "PHILIP",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "17668",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "0017668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01176684",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.