Crystal Dawn Young, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.00028338 Issued in OH

Practice address

154 Elliott Ave
Peebles, OH 45660-1028

Phone

(375) 503-6579

Fax

(937) 386-6945

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crystal.young.p1@direct.beaconortho.nextgenshare.com
• Direct secure messaging: crystal.young.1@18549.direct.athenahealth.com

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.

• Adams County Regional Medical Center

  • Critical Access Hospital
  • Seaman, OH
  • NPI 1851946909
  Medicare reassignment NPD
• The Little Clinic of Ohio LLC

  • Family Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982761896
  Medicare reassignment NPD
• Adams County Regional Medical Center

  dba Adams County Regional Medical Center (ACRMC) Family Medicine

  • Rural Health Clinic/Center
  • Peebles, OH
  • NPI 1114640240
  NPD
• Adams County Regional Medical Center

  dba Adams County Regional Medical Center (ACRMC) Family Medicine

  • Rural Health Clinic/Center
  • West Union, OH
  • NPI 1215574504
  NPD (past)
• Adams County Regional Medical Center

  dba Adams County Regional Medical Center (Acrmc) Family Center

  • Rural Health Clinic/Center
  • Winchester, OH
  • NPI 1467000471
  NPD (past)
• Adams County Regional Medical Center

  dba ACRMC Family Medicine-Georgetown

  • Rural Health Clinic/Center
  • Georgetown, OH
  • NPI 1629628920
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1154912038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E BUSINESS WAY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412374",
            "telephone_number": "513-910-1340",
            "fax_number": "513-354-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 ELLIOTT AVE",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456601028",
            "telephone_number": "375-503-6579",
            "fax_number": "937-386-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.00028338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Mae Waddell, P.T.
• Ashley Wells
• Sherry Lynn Williamson, L.P.N
• Shelly J Wood
• Terri Woods

• Family Nurse Practitioner in Peebles, OH
• Providers in Peebles, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.