Active NPI
Trina M Yenne, APN
- Women's Health Nurse Practitioner
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 209010025
- Practice address
- 3130 Veterans Memorial Dr
Mount Vernon, IL 62864-5951 - Phone
- (618) 997-5266
- Fax
- (618) 997-5285
- NPI assigned
- Nov 26, 2012
- Last updated
- Dec 30, 2020
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 209010025 | IL | Primary |
Addresses
Primary practice location
3130 Veterans Memorial Dr
Mount Vernon, IL 62864-5951
Mailing address
1407 McPherson Ave
Mount Vernon, IL 62864-2822
Phone (618) 997-5266
Other practice location 1
1250 W Whittaker St
Salem, IL 62881-1917
Phone (618) 548-3740
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | tyenne337259@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1007 M L King Dr
Centralia, IL 62801-3001
Phone (618) 997-5266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Women's Healthcare LTD | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| Heartland Women's Healthcare LTD | Current | Accepting new patients | |
| Heartland Women's Healthcare Il PC | Past | Accepting new patients |
Locations
201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113
900 E Walnut St
Ste 10
Carbondale, IL 62901
811 Fairfax St
Carlyle, IL 62231
Phone (618) 594-3025
24 Veterans Dr
Harrisburg, IL 62946
3408 Office Park Dr
Marion, IL 62959
Phone (618) 977-5266
1407 McPherson Ave
Mount Vernon, IL 62864
Phone (618) 244-1178
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
3130 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (708) 736-1727
3230 Veterans Memorial Dr
Mount Vernon, IL 62864
1250 W Whittaker St
Salem, IL 62881
Phone (618) 548-3740
1170 Fortune Blvd
Shiloh, IL 62269
Phone (844) 872-6249
1 Broadway Plz
Ste 1
Sparta, IL 62286
6 Park Pl
Swansea, IL 62226
Phone (618) 233-0522
723 Station Xing
Waterloo, IL 62298
Phone (618) 939-1551
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
Interoperability endpoints
- trina.yenne.1@21608.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Marion, IL
- NPI 1851307532
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Clinical Medical Laboratory
- Swansea, IL
- NPI 1043852932
-
- Obstetrics & Gynecology Physician
- Shiloh, IL
- NPI 1568057131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1972847309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 MCPHERSON AVE",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642822",
"telephone_number": "618-997-5266",
"fax_number": "618-997-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 VETERANS MEMORIAL DR",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628645951",
"telephone_number": "618-997-5266",
"fax_number": "618-997-5285"
}
],
"practiceLocations": [
{
"address_1": "1250 W Whittaker St",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "IL",
"postal_code": "628811917",
"country_code": "US",
"telephone_number": "618-548-3740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YENNE",
"first_name": "TRINA",
"middle_name": "M",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "IL",
"license": "209010025",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1250 W Whittaker St",
"city": "Salem",
"state": "IL",
"country_code": "US",
"postal_code": "628811917",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tyenne337259@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "tyenne337259@direct-ehr-ssmhc.com",
"address_1": "1250 W Whittaker St",
"city": "Salem",
"state": "IL",
"country_code": "US",
"postal_code": "628811917",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.