Active NPI
Jason R Young, CNP
- Family Nurse Practitioner
- Bella Vista, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A004285
- Practice address
- 1 Mercy Way Ste 20
Bella Vista, AR 72714-3000 - Phone
- (479) 802-5555
- Fax
- (479) 876-2829
- NPI assigned
- Jan 5, 2015
- Last updated
- Dec 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ATP000731 | AR | |
| Family Nurse Practitioner | 363LF0000X | A004285 | AR | Primary |
Addresses
Primary practice location
1 Mercy Way Ste 20
Bella Vista, AR 72714-3000
Mailing address
1 Mercy Way Ste 20
Bella Vista, AR 72714-3000
Phone (479) 802-5555
Other practice location 1
643 E 3rd St
Gentry, AR 72734-8258
Phone (479) 736-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Mercy Way
Bella Vista, AR 72714-3000
Phone (479) 802-5555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP000731 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Washington Regional Medical System | Past | Accepting new patients |
Locations
1 Mercy Way
Bella Vista, AR 72714
Phone (479) 802-5555
1 Mercy Way
Ste 20
Bella Vista, AR 72714
Phone (479) 802-5555
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
3017 N Bob Younkin Dr
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4325
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
dba Washington Regional Family Clinic - Springdale
- Family Medicine Physician
- Springdale, AR
- NPI 1326376419
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
-
dba Washington Regional Family Clinic - Farmington
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
-
dba Cardiovascular Surgical Clinic of Northwest Arkansas Washington Regional
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fayetteville, AR
- NPI 1356842884
-
dba Washington Regional Hospital Medicine Group
- Hospitalist Physician
- Fayetteville, AR
- NPI 1306801485
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670371200000",
"number": "1205224870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCY WAY STE 20",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143000",
"telephone_number": "479-802-5555",
"fax_number": "479-876-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCY WAY STE 20",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727143000",
"telephone_number": "479-802-5555",
"fax_number": "479-876-2829"
}
],
"practiceLocations": [
{
"address_1": "643 E 3rd St",
"address_purpose": "LOCATION",
"city": "Gentry",
"state": "AR",
"postal_code": "727348258",
"country_code": "US",
"telephone_number": "479-736-2213",
"fax_number": "479-736-2105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "JASON",
"middle_name": "R",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-05",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "ATP000731",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A004285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.