NPIMap

Individual provider Active NPI

Yuan Stevenson, M.D.

  • Surgery Physician
  • Montevideo, MN
National Provider Identifier
1598152829
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
67618 Issued in MN
Practice address
824 N 11TH St
Montevideo, MN 56265-1629
Phone
(320) 269-8877
Fax
(320) 321-8200
NPI assigned
Apr 24, 2015
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 53530 KY
Surgery Physician 208600000X 67618 MN Primary

Addresses

Primary practice location

824 N 11TH St
Montevideo, MN 56265-1629

Mailing address

824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ystevenson582103@direct.centracare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715004179 MN Practitioner - General Surgery 0244521300 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Johnson Memorial Health ServicesGroup PAC ID 5395653836, shared by 5 NPIs, 17 clinicians
CCM HealthGroup PAC ID 4284539453, 69 clinicians

Practice addresses (Care Compare)

1282 Walnut St
Dawson, MN 56232-2333
Phone (320) 769-4323

824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53530KYMDSurgery Physician
67618MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Services Current Accepting new patients
Lac Qui Parle Clinic of Madison Inc CurrentSince Aug 1, 2021 Accepting new patients
Johnson Memorial Health Services CurrentSince Feb 16, 2022 Accepting new patients
CCM Health CurrentSince Sep 1, 2021 Accepting new patients
Appleton Area Health CurrentSince May 19, 2022 Accepting new patients
Appleton Area Health Current Accepting new patients
CCM Health CurrentSince Sep 1, 2021 Accepting new patients
Appleton Area Health CurrentSince May 19, 2022 Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Johnson Memorial Health Services CurrentSince Feb 16, 2022 Accepting new patients
Madison Healthcare Services CurrentSince Sep 14, 2025 Accepting new patients
CCM Health Past Accepting new patients

Locations

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

Interoperability endpoints

  • Direct secure messaging: ystevenson582103@direct.centracare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1598152829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-321-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 11TH ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651629",
            "telephone_number": "320-269-8877",
            "fax_number": "320-321-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "YUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "53530",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "67618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ystevenson582103@direct.centracare.com",
            "affiliation": "N",
            "address_1": "824 N 11th St",
            "city": "Montevideo",
            "state": "MN",
            "country_code": "US",
            "postal_code": "562651629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

Verify at the official NPI Registry.