Individual provider Active NPI

Sarah Duplessis Young, PA

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1124450341
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1832 Issued in KY
Practice address
2933 Breckenridge LN Ste 103
Louisville, KY 40220-1494
Phone
(502) 394-5678
Fax
(502) 394-5600
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TC210 KY
Physician Assistant 363A00000X PA1832 KY Primary

Addresses

Primary practice location

2933 Breckenridge LN Ste 103
Louisville, KY 40220-1494

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 1

IdentifierTypeStateIssuer
7100252460MedicaidKY

Other names 1

  • Sarah Kathryn Duplessis Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sduplessis96809@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130819000192 KY Practitioner - Physician Assistant 0840432019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TC210KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Norton Childrens Medical Group, LLC Physician Assistant Past Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

411 E Chestnut St
Ste 4C
Louisville, KY 40202
Phone (502) 394-5678

4123 Dutchmans Ln
Ste 102
Louisville, KY 40207
Phone (502) 559-1670

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

9880 Angies Way
Ste 205
Louisville, KY 40241
Phone (502) 394-5678

3999 Dutchmans Ln
Ste 6F
Louisville, KY 40207
Phone (502) 394-1999

Interoperability endpoints

  • Direct secure messaging: sduplessis96809@direct.nortonhealthcare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1124450341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 BRECKENRIDGE LN STE 103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201494",
            "telephone_number": "502-394-5678",
            "fax_number": "502-394-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SARAH",
        "middle_name": "DUPLESSIS",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC210",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100252460",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sduplessis96809@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3999 Dutchmans Ln",
            "address_2": "Suite 6F",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3999 Dutchmans Ln",
            "address_2": "Suite 6F",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DUPLESSIS",
            "middle_name": "KATHRYN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.