JUSTIN PATRICK YELVERTON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669015087

JUSTIN PATRICK YELVERTON (CRNA) is a healthcare provider. based in Waldorf, Maryland. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AC002977 (MD). The NPI Number for JUSTIN PATRICK YELVERTON (CRNA) is 1669015087

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN PATRICK YELVERTON (CRNA)
NPI
1669015087
Phone
Not provided
Address
11663 ROYAL LYTHAM LN
Enumeration Date
18 October 2019
Last Update Date
29 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6786907808
Graduation Year
2019 (7 years ago)
PAC ID
7012343759
Group Practice PAC ID
3779714258
Professional Enrollment ID
I20240131004921
Address ID
OH432131502CO6001XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

974 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MD

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Provider Addresses for JUSTIN PATRICK YELVERTON (CRNA)

  • 11663 ROYAL LYTHAM LN

    WALDORF, MD 206025192

    Phone:

    Type: Mailing

  • 25500, Point Lookout Road, Leonardtown, Saint Mary's County, Maryland, 20650, United States

    LEONARDTOWN, MD 206502015

    Phone: (301) 475-8981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201204000319ICertified Registered Nurse Anesthetist (Crna)DCTBD
I20240131004921ICertified Registered Nurse Anesthetist (Crna)OHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779714258View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH

Reviews

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Frequently asked questions

What is JUSTIN PATRICK YELVERTON (CRNA)'s NPI number?
JUSTIN PATRICK YELVERTON (CRNA)'s NPI is 1669015087 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JUSTIN PATRICK YELVERTON (CRNA)?
For scheduling context, JUSTIN PATRICK YELVERTON (CRNA) is shown as active in the registry.
How would a patient describe JUSTIN PATRICK YELVERTON (CRNA)'s focus?
For JUSTIN PATRICK YELVERTON (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JUSTIN PATRICK YELVERTON (CRNA) located near Waldorf?
JUSTIN PATRICK YELVERTON (CRNA) currently maps to Waldorf, Maryland in this extract.
Can I trust this NPI listing for JUSTIN PATRICK YELVERTON (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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