JEANNE YEAGLE P.A.
NPI 1902883564
Physician Assistant - Medical in Fort Drum, NY
About Jeanne Yeagle P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNE YEAGLE P.A. (NPI 1902883564) is an individual medical provider in Fort Drum, New York, licensed in Illinois (085-002033) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanne Yeagle P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT DRUM, NY 13602
FORT DRUM, NY 13602
FORT DRUM, NY 13602
FORT DRUM, NY 13602
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 Jeanne Yeagle's NPI number?
The NPI number for Jeanne Yeagle is 1902883564. It was assigned to this individual provider in the NPPES registry on December 27, 2005.
Where is Jeanne Yeagle located?
Jeanne Yeagle practices at 11050 Mount Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-0859.
What is Jeanne Yeagle's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jeanne Yeagle enrolled in Medicare?
Yes. Jeanne Yeagle is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jeanne Yeagle was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Jeanne Yeagle, P.A. · NPI 1902883564
Medical physician in Fort Drum, New York. Individual provider, active in the CMS NPPES registry since December 27, 2005.
## Identity
- **NPI:** 1902883564 (Entity type: Individual)
- **Enumerated:** December 27, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 085-002033 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 11050 MOUNT BELVEDERE BLVD, Fort Drum, NY 13602-5438
- **Phone:** (315) 772-0859
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 3, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1902883564) · Data from the CMS NPPES public registry.