Individual provider Active NPI

Sabrina Sonia Yoder, C.N.M.

  • Primary Care Nurse Practitioner
  • Wasilla, AK
National Provider Identifier
1851532576
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
103207 Issued in AK
Practice address
2650 E Broadview Ave
Wasilla, AK 99654-8302
Phone
(907) 373-3420
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 9286660 FL
Primary Care Nurse Practitioner 363LP2300X 103207 AK Primary

Addresses

Primary practice location

2650 E Broadview Ave
Wasilla, AK 99654-8302

Mailing address

2650 E Broadview Ave
Wasilla, AK 99654-8302
Phone (907) 373-3420

Other practice location 1

1138 Georgetown Rd
Christiana, PA 17509-9720
Phone (717) 786-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20210623003555 AK Practitioner - Nurse Practitioner 4284035551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mat-Su Midwifery IncGroup PAC ID 5496079394, 11 clinicians

Practice addresses (Care Compare)

5000 E Shennum Dr
Wasilla, AK 99654-7718
Phone (907) 373-3420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9286660FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mat-Su Midwifery Inc CurrentSince Mar 18, 2021 Accepting new patients
Birth Care & Family Health Services Past Accepting new patients
Mat-Su Birth Center, LLC PastSince Mar 19, 2023 Accepting new patients
Birth Care & Family Health Services Advanced Practice Midwife Past Accepting new patients

Locations

2650 E Broadview Ave
Wasilla, AK 99654
Phone (907) 373-3420

5000 E Shennum Dr
Wasilla, AK 99654
Phone (907) 373-3420

Organizations & group practices 4

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": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1851532576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E BROADVIEW AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548302",
            "telephone_number": "907-373-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E BROADVIEW AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548302",
            "telephone_number": "907-373-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1138 Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Christiana",
            "state": "PA",
            "postal_code": "175099720",
            "country_code": "US",
            "telephone_number": "717-786-4010",
            "fax_number": "717-786-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "SABRINA",
        "middle_name": "SONIA",
        "name_prefix": "Miss",
        "credential": "C.N.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9286660",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "103207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

Verify at the official NPI Registry.