NPIMap

Individual provider Active NPI

Martha F Yearsley, M.D.

  • Internal Medicine Physician
  • Jasper, IN
National Provider Identifier
1386618007
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01042841 Issued in IN
Practice address
1005 Dorbett St
Jasper, IN 47546-2619
Phone
(812) 482-5700
Fax
(812) 481-1045
NPI assigned
Feb 17, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01042841 IN Primary
Internal Medicine Physician 207R00000X 036-084691 IL
Pediatrics Physician 208000000X 01042841 IN
Pediatrics Physician 208000000X 036-084691 IL

Addresses

Primary practice location

1005 Dorbett St
Jasper, IN 47546-2619

Mailing address

1005 Dorbett St
Jasper, IN 47546-2619
Phone (812) 482-5700

Other identifiers 3

IdentifierTypeStateIssuer
990007893OtherINMEDICARE RAILROAD
100414290BMedicaidIN
1B0000001823OtherINANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100303000040 IN Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153235569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1005 Dorbett St
Jasper, IN 47546-2619
Phone (812) 482-5700

800 W 9TH St
Jasper, IN 47546-2514
Phone (812) 996-0188

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-084691ILMDPediatrics Physician
01042841INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Martha F Yearsley M.D. Professional Corporation Internal Medicine CurrentSince Dec 3, 2009 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Jan 1, 1996 Accepting new patients
Deaconess Memorial Medical Center Inc Internal Medicine CurrentSince Jan 1, 1996 Accepting new patients

Locations

1005 Dorbett St
Jasper, IN 47546
Phone (812) 471-4302

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1386618007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462619",
            "telephone_number": "812-482-5700",
            "fax_number": "812-481-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462619",
            "telephone_number": "812-482-5700",
            "fax_number": "812-481-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARSLEY",
        "first_name": "MARTHA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01042841",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-084691",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01042841",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-084691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "990007893",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100414290B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "1B0000001823",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.