Active NPI
Michelle Egar Yeasayer, P.A.-C.
- Physician Assistant
- Mt Sterling, KY
National Provider Identifier
1528154325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA055
- Practice address
- 227 Falcon Dr Ste 104
Mt Sterling, KY 40353-9792 - Phone
- (859) 497-5459
- Fax
- (859) 497-5470
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 3, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA055 | KY | |
| Surgical Physician Assistant | 363AS0400X | PA055 | KY | |
| Physician Assistant | 363A00000X | PA055 | KY | Primary |
Addresses
Primary practice location
227 Falcon Dr Ste 104
Mt Sterling, KY 40353-9792
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7835
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000501 | Other | KY | MEDICARE LAB GROUP |
| 95005138 | Medicaid | KY | |
| CB5773 | Other | KY | RR MEDICARE GROUP |
| P00245022 | Other | KY | RR MEDICARE PIN |
| 37903705 | Other | KY | MEDICAID GROUP LAB |
Other names 1
- Michelle Gibson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA055 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Kentucky Hand Center PSC | Past | Accepting new patients |
Interoperability endpoints
- michelleyeasayer@kysjhspe.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Lexington, KY
- NPI 1235110925
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1093895526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1528154325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"city": "LONDON",
"state": "KY",
"postal_code": "407430936",
"telephone_number": "606-330-7835",
"fax_number": "606-330-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 FALCON DR STE 104",
"city": "MT STERLING",
"state": "KY",
"postal_code": "403539792",
"telephone_number": "859-497-5459",
"fax_number": "859-497-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEASAYER",
"first_name": "MICHELLE",
"middle_name": "EGAR",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KY",
"license": "PA055",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA055",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LAB GROUP",
"identifier": "4000501",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95005138",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CB5773",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "P00245022",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP LAB",
"identifier": "37903705",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "GIBSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mt Sterling, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.