Christa Ann Yeakle, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Upland, IN
NPI 1386343085 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1386343085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71013623A (IN)
- Practice address
- 1809 S Main St Ste 100
Upland, IN 46989-9258 - Phone
- (765) 770-0650
- Fax
- (765) 770-0652
- NPI assigned
- Mar 1, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iu Health Medical Group LLC
Indiana University Health Ball Memorial Physicians Inc
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
1809 S Main St
Upland, IN 46989-9257
Phone (765) 288-1292
Hospital & facility affiliations
- Indiana University Health Ball Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20230421000165 | IN | Practitioner - Nurse Practitioner | 0547625816 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71013623A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Current |
Accepting new patients | |
| Iu Health Medical Group, LLC | Family | Current |
Accepting new patients |
| Indiana University Health Ball Memorial Physicians, Inc. | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
1809 S Main St
Upland, IN 46989
Phone (765) 660-7520
1809 S Main St
Ste 100
Upland, IN 46989
Phone (765) 770-0650
Interoperability endpoints
- cyeakle@direct.iuhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71013623A | IN | Yes |
Addresses
Primary practice location
1809 S Main St Ste 100
Upland, IN 46989-9258
Mailing address
1809 S Main St Ste 100
Upland, IN 46989-9258
Phone (765) 770-0650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71013623B | Other | IN | CSR- PRESCRIPTIVE AUTHORITY |
| 71013623A | Other | IN | STATE OF INDIANA APRN PRESCRIPTIVE AUTHORITY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cyeakle@direct.iuhealth.org | Direct |
Other providers in Upland, IN
- Upland Counseling Group, LLC
- Upland Family Pharmacy LLC
- Joanna A Voors
- You-Ying Wang Whipple
- Jessica Ann Williams
All providers in Upland, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. 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.