Individual provider Active NPI

Glory Jane Ader Yorke, PA-C

  • Medical Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1447569363
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1286 Issued in NV
Practice address
4100 W Flamingo Rd Ste 2100
Las Vegas, NV 89103-3926
Phone
(702) 822-5000
Fax
(702) 822-5001
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21058 CA
Medical Physician Assistant 363AM0700X PA1286 NV Primary
Medical Physician Assistant 363AM0700X PA0246 NV

Addresses

Primary practice location

4100 W Flamingo Rd Ste 2100
Las Vegas, NV 89103-3926

Mailing address

10616 Tranquil Glade LN
Las Vegas, NV 89135-1216
Phone (808) 753-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240725004569 NV Practitioner - Physician Assistant 2163606211 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0246NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of Nevada Medical Hinitt PC CurrentSince May 13, 2024 Accepting new patients

Locations

16906 Collection Ctr Dr
Chicago, IL 60693

653 N Town Center Dr
Ste 112
Las Vegas, NV 89144
Phone (702) 733-0981

5500 Maryland Way
Ste 120
Brentwood, TN 37027

Organizations & group practices 2

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1447569363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 TRANQUIL GLADE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351216",
            "telephone_number": "808-753-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W FLAMINGO RD STE 2100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033926",
            "telephone_number": "702-822-5000",
            "fax_number": "702-822-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORKE",
        "first_name": "GLORY JANE",
        "middle_name": "ADER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21058",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1286",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA0246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.