Active NPI
Janice Nicole Young, M.D.
- Gynecology Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME62510
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 374549000 | Medicaid | FL | |
| 25067 | Other | FL | BC/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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME62510 | FL | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woman to Woman GYN of Naples | Urogynecology and Reconstructive Pelvic Surgery | Current | 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
- 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.
-
- Gynecology Physician
- Naples, FL
- NPI 1376651091
Urogynecology and Reconstructive Pelvic Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.