Active NPI
Jessy Young, NP
- Primary Care Nurse Practitioner
- Corte Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95025951
- Practice address
- 200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196 - Phone
- (415) 925-6900
- NPI assigned
- Sep 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95025951 | CA | Primary |
Addresses
Primary practice location
200 Tamal PLZ Ste 200
Corte Madera, CA 94925-1196
Mailing address
163 Merrydale Rd Apt 14
San Rafael, CA 94903-4051
Phone (619) 743-8380
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3555 Round Barn Cir
Santa Rosa, CA 95403-1757
Phone (707) 528-1050
Hospital & facility affiliations
- Marinhealth Medical Center
- Providence Santa Rosa Memorial Hospital
- Sonoma Valley Hospital
- Novato Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.03 of 100
- Quality
- 80.86
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 75.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Regents Univ of California UCSF | Current | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Locations
200 Tamal Plz
Ste 200
Corte Madera, CA 94925
Phone (415) 925-6900
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
3555 Round Barn Cir
Santa Rosa, CA 95403
Phone (707) 528-1050
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Interoperability endpoints
- jyoung128062@direct-ucsfmedicalcenter.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1124439807
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenbrae, CA
- NPI 1396725677
-
- General Acute Care Hospital
- Sonoma, CA
- NPI 1710063870
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1194501908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 MERRYDALE RD APT 14",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034051",
"telephone_number": "619-743-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TAMAL PLZ STE 200",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251196",
"telephone_number": "415-925-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JESSY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95025951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.