Individual provider Active NPI

Carrie Elise Johans, M.D

  • Urology Physician
  • Saint Louis, MO
National Provider Identifier
1669734968
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2019024779 Issued in MO
Practice address
12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288
Phone
(314) 543-5270
Fax
(314) 543-5272
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036142583 IL
Urology Physician 208800000X 2019024779 MO Primary

Addresses

Primary practice location

12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288

Mailing address

12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288
Phone (314) 543-5270

Other names 1

  • Dr. Carrie Elise Yeast Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190808000780 MO Practitioner - Urology 4486898210 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Urology LLCGroup PAC ID 5395768253, 26 clinicians

Practice addresses (Care Compare)

607 S New Ballas Rd
Suite 3100
St Louis, MO 63141-8219
Phone (314) 251-8850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036142583ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Aug 5, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 5, 2024 Accepting new patients
Mercy Clinic Urology LLC Urology CurrentSince Sep 3, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 1, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 1, 2019 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 5, 2024 Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

607 S New Ballas Rd
Ste 3100
Saint Louis, MO 63141
Phone (314) 251-4260

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

12700 Southfork Rd
Ste 260
Saint Louis, MO 63128
Phone (314) 251-8850

1965 S Fremont Ave
Ste 370
Springfield, MO 65804
Phone (417) 820-0300

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

Interoperability endpoints

  • Direct secure messaging: cjohans1032203@directc.mercy.net

Organizations & group practices 6

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 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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1669734968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283288",
            "telephone_number": "314-543-5270",
            "fax_number": "314-543-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283288",
            "telephone_number": "314-543-5270",
            "fax_number": "314-543-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANS",
        "first_name": "CARRIE",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036142583",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2019024779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "YEAST",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.