Individual provider Active NPI

Janice Nicole Young, M.D.

  • Gynecology Physician
  • Naples, FL
National Provider Identifier
1124136742
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME62510 Issued in FL
Practice address
1201 Piper Blvd Ste 21
Naples, FL 34110-1385
Phone
(239) 591-3311
Fax
(239) 591-3327
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME62510 FL
Gynecology Physician 207VG0400X ME62510 FL Primary

Addresses

Primary practice location

1201 Piper Blvd Ste 21
Naples, FL 34110-1385

Mailing address

1201 Piper Blvd Ste 21
Naples, FL 34110-1385
Phone (239) 591-3311

Other identifiers 2

IdentifierTypeStateIssuer
374549000MedicaidFL
25067OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000361 FL Practitioner - Obstetrics/Gynecology 0840104634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 Piper Blvd
Suite 21
Naples, FL 34110-1385
Phone (239) 676-9406

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME62510FLMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woman to Woman GYN of Naples Urogynecology and Reconstructive Pelvic Surgery CurrentSince Feb 1, 1999 Accepting new patients

Locations

3920 Via del Rey
Ste 1
Bonita Springs, FL 34134
Phone (239) 676-9406

1201 Piper Blvd
Ste 21
Naples, FL 34110
Phone (239) 325-2412

1735 SW Health Pkwy
Naples, FL 34109
Phone (239) 591-3460

Interoperability endpoints

  • Direct secure messaging: janice.young.1@28020.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1124136742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PIPER BLVD STE 21",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101385",
            "telephone_number": "239-591-3311",
            "fax_number": "239-591-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PIPER BLVD STE 21",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101385",
            "telephone_number": "239-591-3311",
            "fax_number": "239-591-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JANICE",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME62510",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME62510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374549000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "25067",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.