Individual provider Active NPI

Eden Yelverton, MD

  • Gynecology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1407210990
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME159686 Issued in FL
Practice address
6600 University Pkwy Ste 305
Lakewood Ranch, FL 34240-9048
Phone
(941) 324-4966
NPI assigned
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X ME159686 FL Primary

Addresses

Primary practice location

6600 University Pkwy Ste 305
Lakewood Ranch, FL 34240-9048

Mailing address

6600 University Pkwy Ste 305
Lakewood Ranch, FL 34240-9048
Phone (941) 324-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME159686FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caroline a Reich MD PC PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1407210990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 305",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409048",
            "telephone_number": "941-324-4699",
            "fax_number": "941-203-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 305",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409048",
            "telephone_number": "941-324-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELVERTON",
        "first_name": "EDEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME159686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.