Jill Rudnick Yoman, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01353 Issued in OR

Practice address

1151 N. Adair St.
Cornelius, OR 97113

Phone

(503) 352-8524

Fax

(503) 357-4371

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Cornelius, OR
  • NPI 1679528012
  Medicare reassignment NPD (past)
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Oxnard, CA
  • NPI 1124067574
  NPD (past)
• Community Memorial Health System

  • Multi-Specialty Clinic/Center
  • Ojai, CA
  • NPI 1588446892
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1508946724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6149",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970070149",
            "telephone_number": "503-352-8657",
            "fax_number": "503-434-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N. ADAIR ST.",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "97113",
            "telephone_number": "503-352-8524",
            "fax_number": "503-357-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOMAN",
        "first_name": "JILL",
        "middle_name": "RUDNICK",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500610446",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Wasson, R.N.
• Luke Wilson
• Cynthia Winsor-Mercurio, RD
• Jerry Yeh
• Indira M Yerman
• Jewhara Ahmeddin Yusuf

• Physician Assistant in Cornelius, OR
• Providers in Cornelius, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.