Individual provider Active NPI

Delena H Young, A.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, KY
National Provider Identifier
1225290315
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5338P Issued in KY
Practice address
415 Gibson LN Ste 2
Richmond, KY 40475-2577
Phone
(859) 661-4526
Fax
(859) 623-9160
NPI assigned
Jun 30, 2008
Last updated
May 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5338P KY Primary

Addresses

Primary practice location

415 Gibson LN Ste 2
Richmond, KY 40475-2577

Mailing address

415 Gibson LN
Richmond, KY 40475-2577
Phone (859) 661-4526

Other identifiers 1

IdentifierTypeStateIssuer
1790731081MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20080829000539 KY Practitioner - Nurse Practitioner 2769558634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Vista of the Bluegrass IncGroup PAC ID 6608773619, 55 clinicians

Practice addresses (Care Compare)

191 Doctors Dr
Frankfort, KY 40601-4101
Phone (502) 223-2182

401 Gibson LN
Richmond, KY 40475-2577
Phone (859) 624-3622

403 Gibson LN
Richmond, KY 40475-2577
Phone (859) 972-1050

407 Gibson LN
Richmond, KY 40475-2577
Phone (859) 624-3622

409 -411 Gibson LN
Richmond, KY 40475-2577
Phone (859) 626-5030

415 Gibson LN
Richmond, KY 40475-2577
Phone (859) 623-9367

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.29 of 100Reported as group
Quality
17.07
Improvement activities
40
Cost
76.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5338PKYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Vista of the Bluegrass Inc CurrentSince Oct 24, 2010 Accepting new patients
New Vista of the Bluegrass Inc CurrentSince Oct 24, 2010 Accepting new patients
New Vista of the Bluegrass Inc Past Accepting new patients
Kentucky Primary Medical Services LLC Past Accepting new patients

Locations

191 Doctors Dr
Frankfort, KY 40601
Phone (502) 223-2182

149 Richmond Rd
Irvine, KY 40336
Phone (606) 723-2225

1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686

1351 Newtown Pike
Bldg 5
Lexington, KY 40511
Phone (859) 233-0444

415 Gibson Ln
Richmond, KY 40475
Phone (859) 623-9367

415 Gibson Ln
Ste 2
Richmond, KY 40475
Phone (859) 661-4526

322 Frontier Blvd
Stanford, KY 40484
Phone (606) 365-2197

438 Washington St
Stanton, KY 40380
Phone (606) 663-2274

325 Professional Ave
Winchester, KY 40391
Phone (859) 744-2562

Organizations & group practices 4

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 1

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1225290315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 GIBSON LN",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752577",
            "telephone_number": "859-661-4526",
            "fax_number": "859-623-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 GIBSON LN STE 2",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752577",
            "telephone_number": "859-661-4526",
            "fax_number": "859-623-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DELENA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "5338P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

Verify at the official NPI Registry.