Individual provider Active NPI

Annmarie Yake Li-Yedica, MD

  • Student in an Organized Health Care Education/Training Program
  • Milwaukee, WI
National Provider Identifier
1952105835
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
900 N 92ND St
Milwaukee, WI 53226-1202
Phone
(920) 889-6625
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

900 N 92ND St
Milwaukee, WI 53226-1202

Mailing address

5760 Pool Side Dr
Raleigh, NC 27612-6119
Phone (920) 889-6625

Other names 1

  • Annmarie Yake Wang Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109000954 WI Order and Referring Only - General SurgeryPractitioner - General Surgery 6305322322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1952105835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 POOL SIDE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126119",
            "telephone_number": "920-889-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 92ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261202",
            "telephone_number": "920-889-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI-YEDICA",
        "first_name": "ANNMARIE",
        "middle_name": "YAKE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNMARIE",
            "last_name": "WANG",
            "middle_name": "YAKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.