Individual provider Active NPI

Anthony D. Yerkovich

  • Family Nurse Practitioner
  • Globe, AZ
National Provider Identifier
1861362188
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
258950 Issued in AZ
Practice address
1100 N Broad St Ste E
Globe, AZ 85501-2700
Phone
(928) 532-7546
NPI assigned
Nov 11, 2025
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 258950 AZ Primary

Addresses

Primary practice location

1100 N Broad St Ste E
Globe, AZ 85501-2700

Mailing address

212 N First St
Globe, AZ 85501-1703
Phone (928) 701-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20260402002487 AZ Practitioner - Nurse Practitioner 2466937818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamblin Dermatology PLLCGroup PAC ID 2264744374, 7 clinicians

Practice addresses (Care Compare)

5300 S Sutter Dr
Suite 1
Show Low, AZ 85901-8055
Phone (928) 532-7546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258950AZMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1861362188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N FIRST ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011703",
            "telephone_number": "928-701-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BROAD ST STE E",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012700",
            "telephone_number": "928-532-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERKOVICH",
        "first_name": "ANTHONY",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "258950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.