NPIMap

Individual provider Active NPI

Nicole Denise Gray Yoder, DO

  • Pulmonary Disease Physician
  • Fountain Hill, PA
National Provider Identifier
1457569006
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
OS013307 Issued in PA
Practice address
709 Delaware Ave
Fountain Hill, PA 18015-1107
Phone
(610) 954-3890
Fax
(610) 954-3046
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X OS013307 PA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X OS013307 PA

Addresses

Primary practice location

709 Delaware Ave
Fountain Hill, PA 18015-1107

Mailing address

709 Delaware Ave
Fountain Hill, PA 18015-1107
Phone (610) 954-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090818000781 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2860546371 Reassigns benefits to 2 organizations
I20191106000941 NJ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 2860546371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Lake Erie College of Osteopathic Medicine, Erie, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 St Lukes LN
Stroudsburg, PA 18360-6217
Phone (484) 526-2200

100 St Lukes Way
Stroudsburg, PA 18360-6217
Phone (272) 212-1000

1021 Park Ave
Quakertown, PA 18951-0130

123 A Roseberry St
Phillipsburg, NJ 08865-1629
Phone (908) 847-8853

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

1872 St Lukes Blvd
Easton, PA 18045-5669
Phone (484) 526-7800

250 S 21St St
Easton, PA 18042-3851

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

360 W Riddle St
Coaldale, PA 18218-1027

685 Delaware Ave
Fountain Hill, PA 18015-1165
Phone (484) 526-3890

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013307PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
Gslpg, Inc CurrentSince Mar 24, 2020 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 26, 2019 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 13, 2009 Accepting new patients
St Luke's Physician Group Inc CurrentSince Jul 13, 2009 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Sep 26, 2019 Accepting new patients
St. Luke's Hospital Past Accepting new patients
St. Luke's Hospital Past Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients

Locations

123B Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-3433

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

1700 St Lukes Blvd
Ste 300
Easton, PA 18045
Phone (610) 838-7638

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

709 Delaware Ave
Fountain Hill, PA 18015
Phone (610) 954-3890

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: nicole.yoder@slpg.direct-sluhn.org

Organizations & group practices 10

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 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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1457569006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151107",
            "telephone_number": "610-954-3890",
            "fax_number": "610-954-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151107",
            "telephone_number": "610-954-3890",
            "fax_number": "610-954-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "NICOLE",
        "middle_name": "DENISE GRAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "OS013307",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "OS013307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.