Individual provider Active NPI

Christine A Yeomans, APNP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1881707867
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2617-033 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy Ste 550
Milwaukee, WI 53215-3696
Phone
(414) 385-8780
Fax
(414) 385-8781
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 2617-033 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy Ste 550
Milwaukee, WI 53215-3696

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

12500 W Bluemound Rd
suite201
Elm Grove, WI 53122-2600
Phone (262) 787-2114

Other practice location 2

12500 W Bluemound Rd
suite201
Elm Grove, WI 53122-2600
Phone (262) 787-2114

Other identifiers 2

IdentifierTypeStateIssuer
2004004259-21OtherWIANCC CERTIFICATE
36032800MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cyeomans95989@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060913000156 WI Practitioner - Nurse Practitioner 6305840968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone (414) 385-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2617-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Oct 4, 2016 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Oct 4, 2016 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

12500 W Bluemound Rd
Ste 201
Elm Grove, WI 53122
Phone (262) 787-2114

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 384-5111

2801 W Kinnickinnic River Pkwy
Ste 550
Milwaukee, WI 53215
Phone (414) 385-8780

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

Interoperability endpoints

  • Direct secure messaging: cyeomans95989@direct.myadvocateaurora.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1881707867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 550",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153696",
            "telephone_number": "414-385-8780",
            "fax_number": "414-385-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 W Bluemound Rd",
            "address_2": "suite201",
            "address_purpose": "LOCATION",
            "city": "Elm Grove",
            "state": "WI",
            "postal_code": "531222600",
            "country_code": "US",
            "telephone_number": "262-787-2114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12500 W Bluemound Rd",
            "address_2": "suite201",
            "address_purpose": "LOCATION",
            "city": "Elm Grove",
            "state": "WI",
            "postal_code": "531222600",
            "country_code": "US",
            "telephone_number": "262-787-2114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEOMANS",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2617-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC CERTIFICATE",
            "identifier": "2004004259-21",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36032800",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cyeomans95989@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2801 W Kinnickinnic River Pkwy Ste 550",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2801 W Kinnickinnic River Pkwy Ste 550",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.