Stacey S Yantis, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP012788 Issued in PA

Practice address

142 Wallace Ave Ste 201
Downingtown, PA 19335

Phone

(610) 873-2700

Fax

(610) 594-2625

NPI assigned

Mar 20, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pentahealth, LLCGroup PAC ID 9537586672, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Medicine Home Health Home health agency, Bala Cynwyd, PA, CCN 397125
• Chester County Hospital Hospital, West Chester, PA, CCN 390179
• Paoli Hospital Hospital, Paoli, PA, CCN 390153
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staceyyantis@gmacc.allscriptsdirect.net

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.

• Pentahealth, LLC

  • Family Medicine Physician
  • Exton, PA
  • NPI 1639787740
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chester County Hospital

  • General Acute Care Hospital
  • West Chester, PA
  • NPI 1356333579
  Care Compare affiliation
• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Paoli, PA
  • NPI 1215042114
  Care Compare affiliation
• Presbyterian Medical Center of the University of Pennsylvania Health S

  • Home Health Agency
  • Bala Cynwyd, PA
  • NPI 1992746366
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1750623500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CREAMERY WAY",
            "address_2": "SUITE 400",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412551",
            "telephone_number": "610-594-7590",
            "fax_number": "610-594-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 WALLACE AVE STE 201",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "19335",
            "telephone_number": "610-873-2700",
            "fax_number": "610-594-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANTIS",
        "first_name": "STACEY",
        "middle_name": "S",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031801480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Women'S Counseling Associates of Chester County
• Braden Woodward, DDS
• Maureen Anne Worrell, PHARMACIST
• Heather Wyatte, MS
• Jessica Ann Yannelli, O.D.
• Eric Yeh, M.D.
• Eileen M Yoel, LSW
• Anthony Yuschak, M.S.ED.
• Monica L. Zangrilli, M.S. CCC/SLP
• Sandra Jean Zeiset, MA

• Family Nurse Practitioner in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.

Verify at the official NPI Registry.