SUSANNE CAROL YEAGLEY MD NPI 1184686719

NPI Information

  • NPI: 1184686719
  • Provider Name: SUSANNE CAROL YEAGLEY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2100 HEDGCOXE RD STE 120
    PLANO, TX
    ZIP 75025
  • Phone: (972) 769-8443

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NPI Details

Susanne Carol Yeagley, MD is a family medicine in Plano, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Susanne Carol Yeagley, MD NPI is 1184686719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2100 HEDGCOXE RD STE 120
PLANO, TX
ZIP 75025-163
Phone: (972) 769-8443
Fax: (972) 769-2395

The NPI 1184686719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)

The enumeration date for this NPI number is 4/6/2006 and was last updated on 2/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineH5816TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18B4288OTHERTEXASBCBS
2TXB113168MEDICARE PINTEXAS
3080177675OTHERTEXASRR MEDICARE
48666N4MEDICARE ID-TYPE UNSPECIFIEDTEXAS
5102158606MEDICAIDTEXAS
6102158605MEDICAIDTEXAS
7102158604MEDICAIDTEXAS
8102158603MEDICAIDTEXAS
9TXB113167MEDICARE PINTEXAS
10E16412MEDICARE UPINTEXAS
11TXB113169MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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