MRS. ANDREA YANCEY (NPI# 1497136428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497136428 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA YANCEY |
| Other Name | ANDREA JACOBS |
| Credential | PA-C |
| Practice Address |
11040 N State Road 77 Hayward WI 54843-3606 |
| Practice Telephone | 7159344850 |
| Mailing Telephone | 7159344850 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4757 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2516 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2516 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 925 W I 35 Frontage Rd Ste 100, Edmond, OK 730347399 | 4054715460 | 4054716513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366080376 | Andrea Dawn Yancey | Nurse Practitioner | 104 N Beech St, Woodville, TX 75979-4718 | 2019-12-20 |
| 1427073642 | Andrea E. Yancey | Surgery | 401 E Chestnut St, Suite 710, Louisville, KY 40202-5700 | 2006-07-12 |
| Street Address |
11040 N STATE ROAD 77 |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992827 | Medical Services, Inc | General Acute Care Hospital | 11040 N State Road 77, Hayward, WI 54843-6391 | 2005-09-16 |
| 1962030320 | Constance M Kelsey | Speech-Language Pathologist | 11040 N State Road 77, Hayward, WI 54843-3606 | 2020-03-31 |
| 1255968418 | Kory Lutz | Physical Therapist | 11040 N State Road 77, Hayward, WI 54843-3606 | 2020-03-26 |
| 1881221059 | Erinn Greta Bratley | Occupational Therapist | 11040 N State Road 77, Hayward, WI 54843-3606 | 2020-03-26 |
| 1760034193 | Barbara L Bowman | Physician Assistant | 11040 N State Road 77, Hayward, WI 54843 | 2019-07-16 |
| 1003281809 | Ashland Audiology LLC | Clinic/Center | 11040 N State Road 77, Hayward, WI 54843-6391 | 2015-12-04 |
| 1376954792 | Martha Krasean | Nurse Practitioner | 11040 N State Road 77, Hayward, WI 54843-3606 | 2014-05-20 |
| 1386055747 | Sarah Dums | Nurse Practitioner | 11040 N State Road 77, Hayward, WI 54843-3606 | 2014-05-19 |
| 1336405893 | Gregory Alan Lehman | Radiologic Technologist | 11040 N State Road 77, Hayward, WI 54843-6391 | 2012-04-09 |
| 1225280050 | Mary L. Van Vonderen | Nurse Practitioner | 11040 N State Road 77, Hayward, WI 54843-3606 | 2008-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174231 | Frank Crespo | Physician Assistant | 18246 Robscott Ave, Hayward, CA 94541-2242 | 2020-08-14 |
| 1912539271 | Crystal Adriana Padilla | Physician Assistant | 809 Hampton Rd, Hayward, CA 94541-1421 | 2020-02-05 |
| 1598141921 | Keith T Bersch | Physician Assistant | 27206 Calaroga Ave Ste 107, Hayward, CA 94545-4300 | 2015-08-07 |
| 1548508369 | Marzia Mujaddide | Physician Assistant | 27171 Calaroga Ave Ste 3, Hayward, CA 94545-4344 | 2013-01-29 |
| 1184781973 | Tracy Ellen Fearnside | Physician Assistant | 680 W. Tennyson Rd., Silva Clinic, Hayward, CA 94544 | 2007-01-02 |
| 1740370584 | Kristof Piotr Kaminski | Physician Assistant | 21297 Foothill Blvd Ste 201, Hayward, CA 94541-1554 | 2006-10-13 |
| 1609986280 | Jamie Lea Taylor Bell | Physician Assistant | 11134 N State Road 77, Hayward, WI 54843-5325 | 2006-08-30 |
| 1568075869 | Veronica Wire | Physician Assistant | 795 Fletcher Ln, Hayward, CA 94544-1008 | 2020-08-26 |
| 1760034193 | Barbara L Bowman | Physician Assistant | 11040 N State Road 77, Hayward, WI 54843 | 2019-07-16 |
| 1255842639 | Spencer Knapp | Physician Assistant | 27200 Calaroga Ave, Hayward, CA 94545-4339 | 2017-10-12 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.