Individual provider Active NPI

Kristina Nicole Yoder, D.O.

  • Obstetrics & Gynecology Physician
  • Bettendorf, IA
National Provider Identifier
1649430620
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5315036300 Issued in MI
Practice address
4480 Utica Ridge Rd
Suite 1140
Bettendorf, IA 52722-1656
Phone
(563) 742-5700
Fax
(563) 742-5705
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5315036300 MI Primary

Addresses

Primary practice location

4480 Utica Ridge Rd
Suite 1140
Bettendorf, IA 52722-1656

Mailing address

4480 Utica Ridge Rd
Suite 1140
Bettendorf, IA 52722-1656
Phone (563) 742-5700

Other identifiers 1

IdentifierTypeStateIssuer
1649430620MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120730000422 IL Practitioner - Obstetrics/Gynecology 2668638016 Reassigns benefits to 1 organization
I20121103000044 IA Practitioner - Obstetrics/Gynecology 2668638016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Suite 1140
Bettendorf, IA 52722-1644
Phone (563) 742-5700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315036300MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Aug 29, 2012 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Trinity Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 1140
Bettendorf, IA 52722
Phone (563) 359-9805

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

Interoperability endpoints

  • Direct secure messaging: kyoder97421@direct.unitypoint.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1649430620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "SUITE 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "SUITE 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5315036300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649430620",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.