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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: October 25, 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
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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 Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elyssa Yantis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
4.0 mi
Family Medicine
720 W HILL ST
Louisville, KY 40208
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1245312503 (502) 636-3164
Norton Children's Medical Group, LLC
16 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6

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
MRS. JULIE ANNE TODD APRN
Nurse Practitioner (Family)
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.

Which organizations bill Medicare for Elyssa Yantis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyssa Yantis reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elyssa Yantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elyssa Yantis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource 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 6 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.