Individual provider Active NPI

Yelis Elise-Melinda Yaskoff, APRN

  • Family Nurse Practitioner
  • Beavercreek, OH
National Provider Identifier
1497439848
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0033679 Issued in OH
Practice address
3165 Dayton Xenia Rd
Beavercreek, OH 45434-6309
Phone
(937) 912-0525
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0033679 OH Primary

Addresses

Primary practice location

3165 Dayton Xenia Rd
Beavercreek, OH 45434-6309

Mailing address

3165 Dayton Xenia Rd
Beavercreek, OH 45434-6309
Phone (937) 912-0525

Other names 1

  • Elise Miller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230628002509 OH Practitioner - Nurse Practitioner 7618336306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illumia Health LLC 33 clinicians
The Little Clinic of Ohio LLC 212 clinicians

Practice addresses (Care Compare)

Dayton, OH 45459
Phone (937) 910-4004

3165 Dayton Xenia Rd
Beavercreek, OH 45434-6309
Phone (937) 912-0525

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
84.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033679OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Ohio LLC Family CurrentSince Jul 3, 2023 Accepting new patients
Illumia Health LLC CurrentSince May 26, 2025 Accepting new patients
Illumia Health LLC CurrentSince May 26, 2025 Accepting new patients
Illumia Health LLC CurrentSince May 25, 2025 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4040 Embassy Pkwy
Ste 410
Akron, OH 44333
Phone (330) 576-5405

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

3165 Dayton Xenia Rd
Dayton, OH 45434
Phone (937) 431-8230

Organizations & group practices 6

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1497439848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346309",
            "telephone_number": "937-912-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346309",
            "telephone_number": "937-912-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASKOFF",
        "first_name": "YELIS",
        "middle_name": "ELISE-MELINDA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "MILLER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.