Active NPI
Carrie Elise Johans, M.D
- Urology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2019024779
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036142583 | IL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Urology LLC | Urology | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | 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
- 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.
-
- Urology Physician
- Washington, MO
- NPI 1669502274
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Rural Health Clinic/Center
- Rolla, MO
- NPI 1922137645
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.