CAROL YACULA (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1336691815

CAROL YACULA (NURSE PRACTITIONER) is a healthcare provider. based in Portland, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. LP-0010758 (DE). The NPI Number for CAROL YACULA (NURSE PRACTITIONER) is 1336691815

Main info

Female
11 Years Of Experience
Name
CAROL YACULA (NURSE PRACTITIONER)
NPI
1336691815
Phone
(503) 494-6594
Address
3303 S Bond Ave
Enumeration Date
31 October 2016
Last Update Date
19 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026453300
Graduation Year
2015 (11 years ago)
PAC ID
4688957087
Group Practice PAC ID
8921917972
Professional Enrollment ID
I20250204000195
Address ID
DE199581462LE424XXRDXX300

Contacts

Secure Messaging
cyacula196861@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness95
Years active:9State licenses:3Other names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for CAROL YACULA (NURSE PRACTITIONER)

  • 3303 S Bond Ave

    Portland, OR 972394501

    Phone: (503) 494-6594

    Fax: (503) 494-5385

    Type: Location

  • 1011 Bowles Ave Ste G50

    Fenton, MO 630260562

    Phone: (636) 496-4640

    Type: Location

  • 32750 Roxana Rd

    Millville, DE 199676980

    Phone: (302) 645-3770

    Fax: (302) 645-5718

    Type: Location

  • PO BOX 955534

    SAINT LOUIS, MO 631955534

    Phone:

    Type: Mailing

  • 1011 BOWLES AVE STE G50

    FENTON, MO 630260562

    Phone: (636) 496-4640

    Type: Location

  • 18947 JOHN J WILLIAMS HWY UNIT 101

    REHOBOTH BEACH, DE 199714480

    Phone: (302) 645-3770

    Fax: (302) 645-5718

    Type: Location

  • 6420 Clayton Rd

    Clayton, MO 631171811

    Phone: (314) 645-3370

    Type: Location

  • 9808, Lakeford Lane, Saxon Manor, Affton, Saint Louis County, Missouri, 63123, United States

    AFFTON, MO 631236230

    Phone: (314) 686-9983

    Type: Mailing

  • SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    CLAYTON, MO 631171811

    Phone: (314) 645-3370

    Type: Location

  • 100 SILICATO PKWY

    MILFORD, DE 199631271

    Phone: (302) 703-3595

    Fax: (833) 629-0784

    Type: Location

  • 1515 SAVANNAH RD

    LEWES, DE 199581675

    Phone: (302) 645-3499

    Fax: (302) 644-4830

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $1,640.

Total Amount is formed as General ($1,640) + Research ($0) + Ownership ($0) = $1,640.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Incyte Corporation ($266).

Total Amount

$1,640

General + Research + Ownership

Payments

44

Total payment records

General Amount

$1,640

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-02-04

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
I20170209000953INurse PractitionerMOTBD
I20250204000195INurse PractitionerDETBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes198104$0
99213Established patient office or other outpatient visit, 20-29 minutes9473$0
View full utilization report →

Insurance plans in this area (ZIP 97239)

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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: 8921917972View full group profile
NameSpecialtyState
Nurse PractitionerDE
Nurse PractitionerDE
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyPA
Internal Medicine, Hematology/OncologyDE
Registered Dietitian Or Nutrition ProfessionalDE
Hematology/Oncology, Internal MedicineDE
Nurse PractitionerDE
Cardiovascular Disease (Cardiology)DE
Interventional Cardiology, Internal MedicineMD
Nurse PractitionerDE

Reviews

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Frequently asked questions

Can I cross-check CAROL YACULA (NURSE PRACTITIONER) using NPI 1336691815?
NPI 1336691815 belongs to CAROL YACULA (NURSE PRACTITIONER); compare other details if you need extra assurance.
Is CAROL YACULA (NURSE PRACTITIONER) shown as active in public data?
Registry records indicate CAROL YACULA (NURSE PRACTITIONER) maintains an active NPI.
How would a patient describe CAROL YACULA (NURSE PRACTITIONER)'s focus?
For CAROL YACULA (NURSE PRACTITIONER), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CAROL YACULA (NURSE PRACTITIONER) located near Portland?
CAROL YACULA (NURSE PRACTITIONER) currently maps to Portland, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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