STEPHAN M YOST (PA-C) – Medical Physician Assistant, NPI 1063497931

STEPHAN M YOST (PA-C) is a healthcare provider. based in Muskogee, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2004003095 (MO). The NPI Number for STEPHAN M YOST (PA-C) is 1063497931

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
STEPHAN M YOST (PA-C)
NPI
1063497931
Phone
(918) 577-4001
Address
1011 Honor Heights Dr
Enumeration Date
13 December 2005
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4172577076
Graduation Year
2002 (24 years ago)
PAC ID
9638155799
Group Practice PAC ID
3870491863
Professional Enrollment ID
I20041001000001
Address ID
MO657752073WE312XXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for STEPHAN M YOST (PA-C)

  • 1011 Honor Heights Dr

    Jack C. Montgomery VA Medical Center

    Muskogee, OK 744011318

    Phone: (918) 577-4001

    Fax: (918) 577-4019

    Type: Location

  • Northeastern Health System, 1400, East Downing Street, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744643324

    Phone: (918) 456-0641

    Type: Location

  • 2281 STATE ROUTE CC

    WEST PLAINS, MO 657755116

    Phone: (417) 274-1358

    Type: Mailing

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: 2004-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041001000001IPhysician AssistantMOTBD

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 74401)

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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: 3870491863View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
-IL
Internal Medicine, RheumatologyMO
A N E S T H E S I O L O G YMO
-MO
-IL
Nurse PractitionerAR
Internal MedicineMO

Reviews

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Frequently asked questions

What NPI should I save for STEPHAN M YOST (PA-C)?
Save NPI 1063497931 if you need a stable reference for STEPHAN M YOST (PA-C).
Is STEPHAN M YOST (PA-C) currently active in the NPI registry?
CMS-published data lists STEPHAN M YOST (PA-C) as an active registrant.
What field does STEPHAN M YOST (PA-C) work in?
You can think of STEPHAN M YOST (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for STEPHAN M YOST (PA-C)?
We surface Muskogee, Oklahoma for STEPHAN M YOST (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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