Active NPI
Kevin Francis Yekaitis, FNP-BC
- Family Nurse Practitioner
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R863320
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R863320 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Express Holding Company, LLC | Current | Accepting new patients | |
| Spartan Orthopaedics, LLC | Current | 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
- https://api.platform.athenahealth.com/11099/brand/3/csg/1/fhir/r4
- 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.
-
- Orthopaedic Surgery Physician
- New Albany, MS
- NPI 1972791978
-
dba OrthoXpress of Holly Springs
- Physician Assistant
- Holly Springs, MS
- NPI 1629596804
-
dba OrthoXpress of Corinth
- Nurse Practitioner
- Corinth, MS
- NPI 1649748252
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Olive Branch, MS
- NPI 1053530246
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.