1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Pediatrics
  6. NPI Profile

ELYSSA RUBERTINO YANTIS
NPI 1114286184
Pediatrics in Louisville, KY

Active since May 11, 2012PECOS Enrolled
4420 DIXIE HWY STE 126, LOUISVILLE, KY 40216(502) 810-3780(502) 394-3607 Get Directions Write a Review

NPPES record last updated: October 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2020, Mar 11, 2020, Apr 9, 2018 (3 updates tracked since 2018).

About Elyssa Rubertino Yantis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELYSSA RUBERTINO YANTIS (NPI 1114286184) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (04134) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114286184
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameELYSSA RUBERTINO YANTIS
Location Address4420 DIXIE HWY STE 126Louisville, KY 40216-2994
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 272-5063 · Fax (502) 272-5339
Phone(502) 810-3780
Fax(502) 394-3607
Sole ProprietorNo
Enumeration DateMay 11, 2012
Last NPPES UpdateOctober 11, 20203 updates tracked since enumeration
NPPES CertifiedOctober 11, 2020
✔ NPI 1114286184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in KY · 04134✔ Licensed in TX · Q4347
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4420 DIXIE HWY STE 126, Louisville, KY 40216
Open in Google Maps ↗

Other Names 1

Former Name (1)Elyssa Renee Rubertino

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elyssa Rubertino Yantis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KELLY LYNN JOHNSTON APRN
Nurse Practitioner (Family)
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
DR. CARLY WOOD
Psychologist (Clinical)
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
JAMES DAVIS TIPTON JR. M.D.
Pediatrics
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
IEISHA BEASLEY
Social Worker (Clinical)
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780
DR. JAMEEL TAMIR CLARK M.D.
Pediatrics
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216
Jefferson County (502) 810-3780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elyssa Yantis's NPI number?

The NPI number for Elyssa Yantis is 1114286184. It was assigned to this individual provider in the NPPES registry on May 11, 2012. The provider is also known as Elyssa Renee Rubertino.

Where is Elyssa Yantis located?

Elyssa Yantis practices at 4420 Dixie Hwy Ste 126, Louisville, KY 40216. The listed phone number is (502) 810-3780.

What is Elyssa Yantis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Elyssa Yantis enrolled in Medicare?

Yes. Elyssa Yantis is registered in the Medicare PECOS enrollment system.

What insurance does Elyssa Yantis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 1 other insurer list Elyssa Yantis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elyssa Yantis was last updated on October 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.