Active NPI
Yelis Elise-Melinda Yaskoff, APRN
- Family Nurse Practitioner
- Beavercreek, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0033679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCThe Little Clinic of Ohio LLC
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 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0033679 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Ohio LLC | Family | Current | Accepting new patients |
| Illumia Health LLC | Current | Accepting new patients | |
| Illumia Health LLC | Current | Accepting new patients | |
| Illumia Health LLC | Current | 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Akron, OH
- NPI 1740024397
OH
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- White Bear Lake, MN
- NPI 1972316289
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1972341147
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Maumee, OH
- NPI 1801693866
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.