Individual provider Active NPI

Kevin Francis Yekaitis, FNP-BC

  • Family Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1649595117
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R863320 Issued in MS
Practice address
3964 Goodman Rd E
Southaven, MS 38672-8761
Phone
(662) 420-7350
Fax
(662) 874-5214
NPI assigned
Mar 29, 2010
Last updated
Nov 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R863320 MS Primary

Addresses

Primary practice location

3964 Goodman Rd E
Southaven, MS 38672-8761

Mailing address

206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20100729000676 MS Practitioner - Nurse Practitioner 9739212689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartan Orthopaedics, LLCGroup PAC ID 4880778786, 9 clinicians

Practice addresses (Care Compare)

206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
74.3
Promoting interoperability
94
Improvement activities
40
Cost
72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R863320MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Express Holding Company, LLC CurrentSince Jul 6, 2010 Accepting new patients
Spartan Orthopaedics, LLC CurrentSince Jul 6, 2010 Accepting new patients
Orthoone Sports Medicine & Orthopaedics, PLLC Past Accepting new patients
Ortho Express Holding Company LLC Past Accepting new patients

Locations

206 Oxford Rd
New Albany, MS 38652
Phone 6625342298223

6518 Goodman Rd
Ste 104
Olive Branch, MS 38654
Phone (662) 420-7350

99 Market Center Dr
Collierville, TN 38017
Phone (901) 853-1174

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11099/brand/3/csg/1/fhir/r4
  • Direct secure messaging: kevin.yekaitis.1@11099.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1649595117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227",
            "fax_number": "662-534-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728761",
            "telephone_number": "662-420-7350",
            "fax_number": "662-874-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEKAITIS",
        "first_name": "KEVIN",
        "middle_name": "FRANCIS",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R863320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.