Individual provider Active NPI

Nadine Andrea Yohn, CRNP

  • Gerontology Nurse Practitioner
  • Meadville, PA
National Provider Identifier
1396573192
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP030193 Issued in PA
Practice address
991 Park Ave
Meadville, PA 16335-3344
Phone
(814) 373-4298
Fax
(814) 724-2196
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP030193 PA Primary
Primary Care Nurse Practitioner 363LP2300X SP030193 PA

Addresses

Primary practice location

991 Park Ave
Meadville, PA 16335-3344

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-4298

Other practice location 1

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316-4203
Phone (814) 382-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010000755 PA Practitioner - Nurse Practitioner 0143752568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Care Medical Associates, LLCGroup PAC ID 1456344084, 64 clinicians
SNF Specialty ServicesGroup PAC ID 3375989668, 56 clinicians
Primary Care ServicesGroup PAC ID 0244452258, 32 clinicians

Practice addresses (Care Compare)

2000 Cliffmine Rd
Suite 500
Pittsburgh, PA 15275-1053
Phone (878) 201-3312

2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (570) 561-2990

991 Park Ave
Meadville, PA 16335-3344
Phone (814) 333-7030

Hospital & facility affiliations

  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP030193PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Care Medical Associates LLC CurrentSince Feb 2, 2026 Accepting new patients
Primary Care Services Primary Care CurrentSince Jul 30, 2024 Accepting new patients
Dedham Dialysis LLC PastSince Jul 1, 2024 Accepting new patients
Meadville Physician Services Past Accepting new patients

Locations

12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298

991 Park Ave
Meadville, PA 16335
Phone (814) 336-2531

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

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.

Hospital & facility affiliations 1

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1396573192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-4298",
            "fax_number": "814-724-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353344",
            "telephone_number": "814-373-4298",
            "fax_number": "814-724-2196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12387 Conneaut Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Conneaut Lake",
            "state": "PA",
            "postal_code": "163164203",
            "country_code": "US",
            "telephone_number": "814-382-0221",
            "fax_number": "814-382-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOHN",
        "first_name": "NADINE",
        "middle_name": "ANDREA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP030193",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP030193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.