Active NPI
Christian Casey Young, FNP
- Family Nurse Practitioner
- Anderson, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010353
- Practice address
- 2830 East St
Anderson, CA 96007-3408 - Phone
- (530) 365-2545
- Fax
- (530) 365-3871
- NPI assigned
- Nov 25, 2009
- Last updated
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010353 | CA | Primary |
| Registered Nurse | 163W00000X | 660294 | CA |
Addresses
Primary practice location
2830 East St
Anderson, CA 96007-3408
Mailing address
PO Box 1743
Shasta Lake, CA 96019-1743
Phone (530) 524-6045
Other names 1
- Christian Casey Boge
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain Communities Healthcare District
Practice addresses (Care Compare)
PO Box
Weaverville, CA 96093-1229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010353 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Regional Medical Group Inc | Current | Accepting new patients | |
| Shasta Regional Medical Group, Inc | Current | Accepting new patients | |
| Orna Gil MD Inc | Current | Accepting new patients | |
| Mountain Communities Healthcare Dist | Past | Accepting new patients | |
| Ronald L. Renard MD, Inc. | Past | Accepting new patients | |
| Sierra Nevada Management Services | Past | Accepting new patients | |
| Mountain Communities Healthcare District | Past | Accepting new patients | |
| Shasta Regional Medical Group Inc | Past | Accepting new patients |
Locations
2830 East St
Anderson, CA 96007
Phone (530) 365-2545
1801 W Olympic Blvd
#1640
Pasadena, CA 91199
1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940
Interoperability endpoints
- christian.youngnp.d1.p3@direct.smmg.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/ABEFCA
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.
-
dba Shasta Community Medical Group
- Hospitalist Physician
- Redding, CA
- NPI 1396990545
-
- Obstetrics & Gynecology Physician
- Redding, CA
- NPI 1588134423
-
- Family Medicine Physician
- Weed, CA
- NPI 1588048680
-
dba Trinity Community Health Clinic
- Rural Health Clinic/Center
- Weaverville, CA
- NPI 1356422307
-
dba Trinity Hospital
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
-
- Allergy & Immunology Physician
- Redding, CA
- NPI 1437556644
-
dba Shasta Community Medical Group
- Vascular Surgery Physician
- Redding, CA
- NPI 1861626129
-
dba Sleep Diagnostics of Chico
- Sleep Disorder Diagnostic Clinic/Center
- Chico, CA
- NPI 1669426698
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Hospital
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1154659431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1743",
"city": "SHASTA LAKE",
"state": "CA",
"postal_code": "960191743",
"telephone_number": "530-524-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 EAST ST",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073408",
"telephone_number": "530-365-2545",
"fax_number": "530-365-3871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CHRISTIAN",
"middle_name": "CASEY",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010353",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "660294",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIAN",
"last_name": "BOGE",
"middle_name": "CASEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Anderson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.