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
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

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

Addresses

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

TypeEndpointUseAffiliation
CONNECT URL Cisco Direct

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

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 CompanyGroup PAC ID 3678753357, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

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

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "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.