NPIMap

Individual provider Active NPI

Kristen Young, PA-C

  • Medical Physician Assistant
  • Louisville, KY
National Provider Identifier
1144471517
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1168 Issued in KY
Practice address
4950 Norton Healthcare Blvd Ste 208
Louisville, KY 40241-2847
Phone
(502) 614-4179
Fax
(502) 614-4450
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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 PA1168 KY
Medical Physician Assistant 363AM0700X PA1168 KY Primary

Addresses

Primary practice location

4950 Norton Healthcare Blvd Ste 208
Louisville, KY 40241-2847

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
7100085120MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kyoung191940@direct.nortonhealthcare.org Direct
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090724000200 KY Practitioner - Physician Assistant 3173676079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (502) 636-7225

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Sep 17, 2012 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Sep 17, 2012 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Community Medical Associates, Inc. Physician Assistant Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

4606 Greenwood Rd
Louisville, KY 40258
Phone (502) 937-2209

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

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

201 Abraham Flexner Way
Ste 1200
Louisville, KY 40202
Phone (502) 583-8383

170 Dr Arla Way
Ste 10
Louisville, KY 40229
Phone (502) 559-5864

3430 Newburg Rd
Ste 150
Louisville, KY 40218
Phone (502) 459-9127

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

4950 Norton Healthcare Blvd
Ste 208
Louisville, KY 40241
Phone (502) 559-5864

850 S 28th St
Ste 104
Louisville, KY 40211
Phone (502) 394-5678

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

1903 W Hebron Ln
Shepherdsvlle, KY 40165
Phone (502) 587-4421

Organizations & group practices 8

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1144471517",
    "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": "4950 NORTON HEALTHCARE BLVD STE 208",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412847",
            "telephone_number": "502-614-4179",
            "fax_number": "502-614-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1168",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA1168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100085120",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung191940@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4950 Norton Healthcare Blvd Ste 208",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4950 Norton Healthcare Blvd Ste 208",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.