Active NPI
Yejin Mishoulam, CRNA
- Certified Registered Nurse Anesthetist
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 5657
- Practice address
- 237 Magnolia Way
Asheville, NC 28806-8466 - Phone
- (828) 606-0182
- NPI assigned
- Feb 21, 2017
- Last updated
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 117156 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 5657 | NC | Primary |
| Registered Nurse | 163W00000X | 246294 | NC |
Addresses
Primary practice location
237 Magnolia Way
Asheville, NC 28806-8466
Mailing address
50 Schenck Pkwy
Asheville, NC 28803-3499
Phone (828) 681-1527
Other practice location 1
424 Appeldoorn Cir
Asheville, NC 28803-6107
Phone (828) 606-0182
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | missionhealth@direct.msj.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117156 | NC | MD | Certified Registered Nurse Anesthetist |
| 5657 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Partners, LLC | Current | Accepting new patients |
Locations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
387 Shuman Blvd
Ste 240W
Naperville, IL 60563
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
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.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1881133031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 SCHENCK PKWY",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288033499",
"telephone_number": "828-681-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 MAGNOLIA WAY",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288068466",
"telephone_number": "828-606-0182"
}
],
"practiceLocations": [
{
"address_1": "424 Appeldoorn Cir",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288036107",
"country_code": "US",
"telephone_number": "828-606-0182",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHOULAM",
"first_name": "YEJIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-21",
"last_updated": "2022-01-07",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "117156",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "5657",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "246294",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "missionhealth@direct.msj.org",
"affiliation": "N",
"address_1": "424 Appeldoorn Cir",
"city": "Asheville",
"state": "NC",
"country_code": "US",
"postal_code": "288036107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Asheville, NC
- Renee Minx, LCAS-A, LCSW-A
- Heather Anne Miracle, WHNP-BC
- Brian Miriello, CRNA
- Daisy S Miriello, PA-C
- Judith Ann Mishkin Miller, L.C.S.W.
- Ashish Mishra, DPM
- Joel Mark Misler, LPC
- Mission Community Anesthesiology Specialists LLC
- Mission Community Anesthesiology Specialists LLC
- Mission Community Anesthesiology Specialists LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.