Individual provider Active NPI

Anthony Matthew Young, APRN, FNP-C

  • Family Nurse Practitioner
  • Manchester, KY
National Provider Identifier
1265104194
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3016750 Issued in KY
Practice address
210 Marie Langdon Dr
Manchester, KY 40962-6388
Phone
(606) 813-1772
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 3016750 KY Primary

Addresses

Primary practice location

210 Marie Langdon Dr
Manchester, KY 40962-6388

Mailing address

11217 Highway 421 S
Tyner, KY 40486-8352
Phone (606) 598-5104

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
I20211117002608 KY Practitioner - Nurse Practitioner 5092104711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital, Inc.Group PAC ID 4486616141, shared by 9 NPIs, 60 clinicians

Practice addresses (Care Compare)

145 Orchard St
Oneida, KY 40972-6409
Phone (606) 847-4000

53 Queendale Ctr
Beverly, KY 40913-9608
Phone (606) 598-5135

56 Marie Langdon Dr
Manchester, KY 40962-6329
Phone (606) 599-4080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.63 of 100Reported as group
Quality
81.08
Promoting interoperability
100
Improvement activities
40
Cost
81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. CurrentSince Nov 11, 2021 Accepting new patients
Memorial Hospital Inc. Family CurrentSince Nov 11, 2021 Accepting new patients
Memorial Hospital, Inc. CurrentSince Nov 11, 2021 Accepting new patients
Memorial Hospital, Inc. Family CurrentSince Nov 11, 2021 Accepting new patients

Locations

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135

Interoperability endpoints

  • Direct secure messaging: ayoung659150@adventhealth.direct-ci.com

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 and National Provider Directory roles.

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": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1265104194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11217 HIGHWAY 421 S",
            "city": "TYNER",
            "state": "KY",
            "postal_code": "404868352",
            "telephone_number": "606-598-5104",
            "fax_number": "606-712-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MARIE LANGDON DR",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626388",
            "telephone_number": "606-813-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANTHONY",
        "middle_name": "MATTHEW",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

Verify at the official NPI Registry.