Gerrilyn Ashley Yancy, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

LE-00035396 Issued in OH

Practice address

1120 Dunaway St
Miamisburg, OH 45342-3839

Phone

(937) 866-9089

NPI assigned

Jan 22, 2021

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Lifelong Wellness of Ohio, LLCGroup PAC ID 4688118698, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gerrilyn.yancy@811349933621252.direct.elationemr.com

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.

• Lifelong Wellness of Ohio LLC

  • Adult Medicine Physician
  • MC Arthur, OH
  • NPI 1275372302
  Medicare reassignment Care Compare group NPD
• Kingston Care Partners, LLC

  • Nursing Care Agency
  • Toledo, OH
  • NPI 1609185180
  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Middleburg Heights, OH
  • NPI 1932386059
  Medicare reassignment NPD
• Extended Care Specialists, Inc

  • Adult Medicine Physician
  • Merrillville, IN
  • NPI 1134146079

  Adult Health, OH

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Restoration Homecare

  • In Home Supportive Care Agency
  • Miamisburg, OH
  • NPI 1578202230
  NPD Authorized official
• Vpa PC

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1346254281
  NPD
• Vpa PC

  • Clinical Social Worker
  • Maumee, OH
  • NPI 1952929630
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1639769755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DUNAWAY ST",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423839",
            "telephone_number": "937-866-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 DUNAWAY ST",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453423839",
            "telephone_number": "937-866-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCY",
        "first_name": "GERRILYN",
        "middle_name": "ASHLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "LE-00035396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Wright, LPN
• Michelle Elizabeth Wright, MPAS, PA-C
• WS Wellness LLC
• Vincent Wu, PHARMD
• Stephanie Wuellner, RPH
• Ynr LLC
• April Gaye Yoder, PT ASSISTANT
• Nathaniel Yohannes, MD
• Johnathan Zacharias, MD
• Daniel Zarrate, MD

• Adult Health Nurse Practitioner in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.

Verify at the official NPI Registry.