Active NPI
Dara Yastrzemski, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Walton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404147
- Practice address
- 243 Delaware St
Walton, NY 13856-1019 - Phone
- (607) 832-5888
- Fax
- (607) 832-6081
- NPI assigned
- Jan 12, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 404147 | NY | Primary |
Addresses
Primary practice location
243 Delaware St
Walton, NY 13856-1019
Mailing address
243 Delaware St
Walton, NY 13856-1019
Phone (607) 832-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.28 of 100
- Quality
- 88.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Delaware County | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Delaware County | Current | Accepting new patients | |
| Psychiatry Faculty Practice, Inc. | Current | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
600 E Genesee St
Ste 217
Syracuse, NY 13202
Phone (315) 452-0300
719 Harrison St
Syracuse, NY 13210
Phone (315) 464-3265
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
243 Delaware St
Walton, NY 13856
Phone (607) 832-5888
Interoperability endpoints
- dyastrzemski@hiemail.healtheconnections.org
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walton, NY
- NPI 1740375385
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
-
- Public Health or Welfare Agency
- Delhi, NY
- NPI 1154689495
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1962153809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 DELAWARE ST",
"city": "WALTON",
"state": "NY",
"postal_code": "138561019",
"telephone_number": "607-832-5888",
"fax_number": "607-832-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 DELAWARE ST",
"city": "WALTON",
"state": "NY",
"postal_code": "138561019",
"telephone_number": "607-832-5888",
"fax_number": "607-832-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASTRZEMSKI",
"first_name": "DARA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-12",
"last_updated": "2024-05-15",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "404147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.