Individual provider Active NPI

James C Yanke, C.N.P.

  • Nurse Practitioner
  • Brecksville, OH
National Provider Identifier
1750791653
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.15783-NP Issued in OH
Practice address
8930 Brecksville Rd
Brecksville, OH 44141-2318
Phone
(440) 740-0696
Fax
(440) 740-0697
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.15783-NP OH Primary

Addresses

Primary practice location

8930 Brecksville Rd
Brecksville, OH 44141-2318

Mailing address

8930 Brecksville Rd
Brecksville, OH 44141-2318
Phone (440) 740-0696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140814001494 OH Practitioner - Nurse Practitioner 0749407799 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Health and Wellness Center of Ohio LLCGroup PAC ID 3274771217, 4 clinicians

Practice addresses (Care Compare)

8930 Brecksville Rd
Brecksville, OH 44141-2318
Phone (440) 740-0696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15783-NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health and Wellness Center of Ohio LLC CurrentSince Mar 3, 2018 Accepting new patients
Advanced Spine Joint and Wellness Center CurrentSince Apr 27, 2015 Accepting new patients
Te Physical Medicine at CHC of Parma Past Accepting new patients

Locations

8930 Brecksville Rd
Brecksville, OH 44141
Phone (234) 217-0229

5020 Victor Dr
Medina, OH 44256
Phone (330) 433-4243

201 Great Oaks Trl
Wadsworth, OH 44281
Phone (330) 336-9500

Organizations & group practices 3

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1750791653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412318",
            "telephone_number": "440-740-0696",
            "fax_number": "440-740-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 BRECKSVILLE RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412318",
            "telephone_number": "440-740-0696",
            "fax_number": "440-740-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKE",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.15783-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.