Individual provider Active NPI

Elissa M Yarnold, D.O.

  • Emergency Medicine Physician
  • Carson City, MI
National Provider Identifier
1801245337
Registry record updated Jan 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101022589 Issued in MI
Practice address
406 E Elm St
Carson City, MI 48811-9693
Phone
(989) 584-3131
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101022589 MI Primary

Addresses

Primary practice location

406 E Elm St
Carson City, MI 48811-9693

Mailing address

406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181114000314 MI Practitioner - Emergency Medicine 2365796133 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Carson Hospital CurrentSince Aug 1, 2022 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Jul 11, 2020 Accepting new patients
Sparrow Clinton Hospital Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Sparrow Carson Hospital Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 1, 2022 Accepting new patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince Aug 1, 2022 Accepting new patients
Lake Michigan Emergency Specialists, PLLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

72 S State St
Shelby, MI 49455
Phone (231) 728-4601

Organizations & group practices 10

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673049600000",
    "number": "1801245337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E ELM ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119693",
            "telephone_number": "989-584-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E ELM ST",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488119693",
            "telephone_number": "989-584-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNOLD",
        "first_name": "ELISSA",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2023-01-07",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101022589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, MI

Sources for this page

Verify at the official NPI Registry.