Maryn Lynna Young, FNP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R46797 Issued in ND

Practice address

510 4TH St S
Fargo, ND 58103-1914

Phone

(701) 476-7200

NPI assigned

Oct 23, 2018

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Marin Lynna Young-Delp Former name

Medicare fee-for-service enrollment

Enrolled in ND, MN, MT, CA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Mental Health Clinic PLLCGroup PAC ID 6204216070, 5 clinicians

Long Valley Health CenterGroup PAC ID 8628965852, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11280/brand/1/csg/1/fhir/r4
• Direct secure messaging: maryn.young.1@24067.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Mental Health Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fargo, ND
  • NPI 1861877052

  MN

  Medicare reassignment Care Compare group NPD
• Long Valley Health Center

  • Clinic/Center
  • Laytonville, CA
  • NPI 1366467375
  Medicare reassignment Care Compare group
• Presentation Medical Center

  • Critical Access Hospital
  • Rolla, ND
  • NPI 1265404958
  Medicare reassignment NPD
• Turtle Mountain Family Medicine, LLC

  • Family Medicine Physician
  • Dunseith, ND
  • NPI 1982031746
  Medicare reassignment NPD
• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment NPD
• Presentation Medical Center

  • Clinic/Center
  • Rolla, ND
  • NPI 1992014518
  NPD
• Billings Clinic

  dba Billings Clinic Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Billings, MT
  • NPI 1003953589
  NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  NPD
• Midwest Mental Health Clinic PLLC

  dba Midwest Mental Health

  • Addiction (Substance Use Disorder) Counselor
  • Fargo, ND
  • NPI 1710600028
  NPD (past)
• Nexus-Path Family Healing

  • Psychiatric Residential Treatment Facility
  • Fargo, ND
  • NPI 1811572886
  NPD (past)
• Presentation Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Rolla, ND
  • NPI 1619033917
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1073089439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73372 ADOBE SPRINGS DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922601143",
            "telephone_number": "760-898-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 4TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031914",
            "telephone_number": "701-476-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 2nd Ave NE",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "ND",
            "postal_code": "583677153",
            "country_code": "US",
            "telephone_number": "701-477-3161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42335 Washington St Ste F151",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922118004",
            "country_code": "US",
            "telephone_number": "424-229-2035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "819 30th Ave S Ste 206B",
            "address_purpose": "LOCATION",
            "city": "Moorhead",
            "state": "MN",
            "postal_code": "565605054",
            "country_code": "US",
            "telephone_number": "218-477-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARYN",
        "middle_name": "LYNNA",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009992",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R46797",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "829828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIN",
            "last_name": "YOUNG-DELP",
            "middle_name": "LYNNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Lyn Yost, RDH
• Fatme Younes, PHARMD
• Jamie Marie Young-Schneider, LPN
• Jenna Rae Young, PHARMD
• Makinzey Catherine Young
• Mialara Rose Young, LMT, L.AC
• Michaeline Cooper Youngkendeh
• Amy L. Youngquist, M.S. CCC-SLP
• Lorene Yoxtheimer, M.D.
• Sharleen Yuan, MA, PHD, MD

• Psychiatric/Mental Health Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.