Individual provider Active NPI

Stephanie R Young, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1194177022
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
28179328A Issued in IN
Practice address
8360 S Emerson Ave Ste 100
Indianapolis, IN 46237-8746
Phone
(317) 859-2535
Fax
(317) 859-2540
NPI assigned
Jul 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 28179328A IN Primary

Addresses

Primary practice location

8360 S Emerson Ave Ste 100
Indianapolis, IN 46237-8746

Mailing address

8360 S Emerson Ave
100
Indianapolis, IN 46237-8745
Phone (317) 859-2535

Other identifiers 1

IdentifierTypeStateIssuer
201389510MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stephanie.Young@ogi.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160928000576 IN Practitioner - Nurse Practitioner 0244527661 Reassigns benefits to 1 organization

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
Seven Hills OB-GYN Associates LLCGroup PAC ID 0749188142, 88 clinicians

Practice addresses (Care Compare)

8360 S Emerson Ave
Suite 100
Indianapolis, IN 46237-8746
Phone (317) 859-2535

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28179328AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates LLC Adult Health CurrentSince Jan 1, 2021 Accepting new patients
Seven Hills OB-GYN Associates, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

1703 W Stones Crossing Rd
Ste 320
Greenwood, IN 46143
Phone (317) 859-2535

8091 Township Line Rd
Ste 206
Indianapolis, IN 46260
Phone (317) 415-1000

8360 S Emerson Ave
Ste 100
Indianapolis, IN 46237
Phone (317) 859-2535

8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600

Interoperability endpoints

  • Direct secure messaging: stephanie.young@ogi.gwaydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1194177022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 S EMERSON AVE",
            "address_2": "100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378745",
            "telephone_number": "317-859-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 S EMERSON AVE STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462378746",
            "telephone_number": "317-859-2535",
            "fax_number": "317-859-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-03",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28179328A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201389510",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stephanie.Young@ogi.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8360 S Emerson Ave Ste 100",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462378746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.