Individual provider Active NPI

Michael Yencho

  • Physician Assistant
  • Harker Heights, TX
National Provider Identifier
1932963980
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18299 Issued in TX
Practice address
300 W Central Texas Expy
Harker Heights, TX 76548-1885
Phone
(254) 833-8456
NPI assigned
Feb 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18299 TX Primary

Addresses

Primary practice location

300 W Central Texas Expy
Harker Heights, TX 76548-1885

Mailing address

4831 Rosaline Dr
Belton, TX 76513-8226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241029000127 TX Practitioner - Physician Assistant 2860925971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Urgent Care, PLLCGroup PAC ID 2961546221, 20 clinicians

Practice addresses (Care Compare)

2810 Clear Creek Rd
Killeen, TX 76549-7142
Phone (254) 312-4900

2812 Oakmark Dr
Suite a
Belton, TX 76513-1200
Phone (254) 300-9191

300 W Central Texas Expy
Suite 115
Harker Heights, TX 76548-1888
Phone (254) 833-8456

3202 S W S Young Dr
Suite 106
Killeen, TX 76542-6537
Phone (254) 781-5446

Hospital & facility affiliations

  • Seton Medical Center Harker Heights Hospital, Harker Heights, TX, CCN 670080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18299TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Urgent Care PLLC PastSince Jan 29, 2023 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1932963980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 ROSALINE DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765138226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTRAL TEXAS EXPY",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481885",
            "telephone_number": "254-833-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENCHO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

Verify at the official NPI Registry.