Individual provider Active NPI

Gina Lynette Young-Harper, APRN FNP

  • Family Nurse Practitioner
  • Cisco, TX
National Provider Identifier
1164023289
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018805 Issued in TX
Practice address
701 County Road 126
Cisco, TX 76437-6006
Phone
(254) 442-1146
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comanche County Medical Center Company 23 clinicians

Practice addresses (Care Compare)

10201 Hwy 16
Comanche, TX 76442-4462
Phone (254) 879-4900

Hospital & facility affiliations

  • Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220113001404 TX Practitioner - Nurse Practitioner 8527355650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Medical Center Company Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1018805 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

701 County Road 126
Cisco, TX 76437-6006

Mailing address

701 County Road 126
Cisco, TX 76437-6006
Phone (254) 442-1146

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL Cisco Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2020.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1164023289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COUNTY ROAD 126",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764376006",
            "telephone_number": "254-442-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COUNTY ROAD 126",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764376006",
            "telephone_number": "254-442-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-HARPER",
        "first_name": "GINA",
        "middle_name": "LYNETTE",
        "credential": "APRN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cisco",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 County Road 126",
            "city": "Cisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "764376006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cisco, TX

Sources for this page

Verify at the official NPI Registry.