Individual provider Active NPI

Noah David Yaeger, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carson City, NV
National Provider Identifier
1740764653
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
813540 Issued in NV
Practice address
1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706-0668
Phone
(775) 687-0870
Fax
(775) 687-5103
NPI assigned
Sep 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 813540 NV Primary

Addresses

Primary practice location

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706-0668

Mailing address

727 Fairview Dr
Ste a
Carson City, NV 89701
Phone (775) 684-5000

Other identifiers 1

IdentifierTypeStateIssuer
1740764653MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190104000024 NV Practitioner - Nurse Practitioner 0345586871 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
813540NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Mar 30, 2020 Accepting new patients
State of Nevada CurrentSince Mar 30, 2020 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

4150 Technology Way
Ste 100
Carson City, NV 89706

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706
Phone (775) 687-0870

727 Fairview Dr
Ste A
Carson City, NV 89701
Phone (775) 684-5000

1825 Pinion Rd
Ste A
Elko, NV 89801
Phone (775) 738-8021

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

415 US Highway 95A S
Bldg 1
Fernley, NV 89408
Phone (775) 575-7744

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

Interoperability endpoints

  • Direct secure messaging: nyaeger@plthc.directbygreenway.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1740764653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 FAIRVIEW DR",
            "address_2": "STE A",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89701",
            "telephone_number": "775-684-5000",
            "fax_number": "775-687-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD",
            "address_2": "STE 150",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060668",
            "telephone_number": "775-687-0870",
            "fax_number": "775-687-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAEGER",
        "first_name": "NOAH",
        "middle_name": "DAVID",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "813540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740764653",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.