Yan V Yatsynovich, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

64321 Issued in TN

Practice address

127 N Oak Ave # a
Cookeville, TN 38501-2435

Phone

(931) 783-2361

Fax

(931) 783-5215

NPI assigned

Apr 22, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cookeville Regional Medical Group IncGroup PAC ID 8325092638, 54 clinicians

CRMC Mso Sub 1 IncorporatedGroup PAC ID 1052332830, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059
• Cumberland Medical Center Hospital, Crossville, TN, CCN 440009
• Livingston Regional Hospital Hospital, Livingston, TN, CCN 440187
• Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

Merit-based Incentive Payment System (MIPS)

Final score

57.32 of 100Reported as individual

Quality

77.91

Promoting interoperability

0

Improvement activities

40

Cost

63.16

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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.

• Cookeville Regional Medical Group, Inc

  • Multi-Specialty Clinic/Center
  • Cookeville, TN
  • NPI 1649202102
  Medicare reassignment Care Compare group NPD
• CRMC Mso Sub 1, Incorporated

  • Specialist
  • Cookeville, TN
  • NPI 1972648319
  Medicare reassignment Care Compare group NPD
• Cookeville Regional Medical Center

  • Rehabilitation Hospital Unit
  • Cookeville, TN
  • NPI 1639293483
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cookeville Regional Medical Center

  • General Acute Care Hospital
  • Cookeville, TN
  • NPI 1275531956
  Care Compare affiliation
• Cumberland Medical Center, Inc.

  • General Acute Care Hospital
  • Crossville, TN
  • NPI 1871596403
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1023055126
  Care Compare affiliation
• Livingston Regional Hospital LLC

  • Rural Acute Care Hospital
  • Livingston, TN
  • NPI 1396760542
  Care Compare affiliation

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1427445071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 7TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011726",
            "telephone_number": "931-783-5582",
            "fax_number": "931-783-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N OAK AVE # A",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012435",
            "telephone_number": "931-783-2361",
            "fax_number": "931-783-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATSYNOVICH",
        "first_name": "YAN",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "64321",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "64321",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TN",
            "license": "64321",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "64321",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "7959723",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T24986A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miranda Wright
• Rachael Wright, RBT
• Amy Wuethrich
• Amanda Ranae Wyatt, PMHNP
• Donald Alfred Wylie II, COTA/L
• Cody Dewayne York, LPC-MHSP
• Tyler Cade York, FNP
• Emilee L Young
• Holly Young
• Laura June Young, FAMILY PMHNP

• Interventional Cardiology Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Interventional Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.