MR. JONATHAN YODER (FNP-C, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1073778973

MR. JONATHAN YODER (FNP-C, PMHNP-BC) is a healthcare provider. based in Fredericksburg, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C, PMHNP-BC. They hold a License No. 0024170154 (VA). The NPI Number for MR. JONATHAN YODER (FNP-C, PMHNP-BC) is 1073778973

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. JONATHAN YODER (FNP-C, PMHNP-BC)
NPI
1073778973
Phone
(540) 735-0560
Address
1965 JEFFERSON DAVIS HWY
Enumeration Date
21 July 2008
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047960790
Graduation Year
2012 (14 years ago)
PAC ID
2769635713
Group Practice PAC ID
1153842687
Professional Enrollment ID
I20121227000091
Address ID
VA230606803GL4801XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for MR. JONATHAN YODER (FNP-C, PMHNP-BC)

  • 1965, Jefferson Davis Highway, Confederate Ridge, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    SUITE 100

    FREDERICKSBURG, VA 224013353

    Phone: (540) 735-0560

    Fax: (540) 735-0567

    Type: Mailing

  • 1300 THORNTON ST STE 103

    FREDERICKSBURG, VA 224014608

    Phone: (540) 212-9525

    Fax: (540) 779-7696

    Type: Mailing

  • 4414 LAFAYETTE BLVD STE 239B

    FREDERICKSBURG, VA 224084271

    Phone: (540) 212-9525

    Fax: (540) 779-7696

    Type: Location

  • 10908 COURTHOUSE RD STE 102-116

    FREDERICKSBURG, VA 224082658

    Phone: (540) 212-9525

    Fax: (540) 779-7696

    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: 2016-12-16

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
I20121227000091INurse PractitionerVATBD
I20161216001187INurse PractitionerDCTBD

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 22401)

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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: 1153842687View full group profile
NameSpecialtyState
Marriage And Family TherapistVA
Mental Health CounselorVA
Clinical Social WorkerMD
Nurse PractitionerVA
Nurse PractitionerVA
Mental Health CounselorVA
Nurse PractitionerVA
Clinical PsychologistVA
Clinical Social WorkerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How do I look up MR. JONATHAN YODER (FNP-C, PMHNP-BC) by NPI?
Use NPI 1073778973 when you need to reference MR. JONATHAN YODER (FNP-C, PMHNP-BC) in forms, claims, or directories.
Is MR. JONATHAN YODER (FNP-C, PMHNP-BC) currently active in the NPI registry?
CMS-published data lists MR. JONATHAN YODER (FNP-C, PMHNP-BC) as an active registrant.
What does MR. JONATHAN YODER (FNP-C, PMHNP-BC) treat or focus on?
Patients typically see MR. JONATHAN YODER (FNP-C, PMHNP-BC) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JONATHAN YODER (FNP-C, PMHNP-BC)?
The snapshot lists Fredericksburg, Virginia for MR. JONATHAN YODER (FNP-C, PMHNP-BC); download NPPES for the complete set.
What if Fredericksburg, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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