Individual provider Active NPI

Tina M Yoss I, APNP

  • Nurse Practitioner
  • Fort Atkinson, WI
National Provider Identifier
1912662628
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
319323 Issued in WI
Practice address
740 Reena Ave
Fort Atkinson, WI 53538-3145
Phone
(920) 563-0888
Fax
(920) 568-3516
NPI assigned
Nov 8, 2021
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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 319323 WI Primary

Addresses

Primary practice location

740 Reena Ave
Fort Atkinson, WI 53538-3145

Mailing address

740 Reena Ave
Fort Atkinson, WI 53538-3145
Phone (920) 563-0888

Other identifiers 1

IdentifierTypeStateIssuer
1912662628MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tyoss@bcsgps.com

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
I20211222002345 WI Practitioner - Nurse Practitioner 7719378991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

740 Reena Ave
Fort Atkinson, WI 53538-3145
Phone (920) 563-0888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
319323WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Nov 1, 2022 Accepting new patients
SNF Wound Care CurrentSince Dec 1, 2021 Accepting new patients
Dean Health Systems, Inc. CurrentSince Nov 1, 2022 Accepting new patients

Locations

709 Meadow Park Dr
Clinton, WI 53525
Phone (608) 676-2202

740 Reena Ave
Fort Atkinson, WI 53538
Phone (920) 563-0888

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • Direct secure messaging: tyoss@bcsgps.com
  • Direct secure messaging: tyoss382162@direct-ehr-ssmhc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1912662628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 REENA AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383145",
            "telephone_number": "920-563-0888",
            "fax_number": "920-568-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 REENA AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383145",
            "telephone_number": "920-563-0888",
            "fax_number": "920-568-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOSS",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "319323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912662628",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tyoss@bcsgps.com",
            "affiliation": "N",
            "address_1": "10005 E Johnny Dr",
            "city": "Clinton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535258668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.