Individual provider Active NPI

Katherine L Young, MD

  • Family Medicine Physician
  • Norton Shores, MI
National Provider Identifier
1275510034
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301064912 Issued in MI
Practice address
3587 Henry St Ste 200
Norton Shores, MI 49441
Phone
(231) 672-6700
Fax
(231) 672-6749
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301064912 MI Primary

Addresses

Primary practice location

3587 Henry St Ste 200
Norton Shores, MI 49441

Mailing address

PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 672-3155

Other practice location 1

560 Seminole Rd
Norton Shores, MI 49444-3720
Phone (231) 733-8679

Other identifiers 2

IdentifierTypeStateIssuer
4290562MedicaidMI
1275510034MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kyoung148654@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000793 MI Practitioner - Family Practice 3971648122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians

Practice addresses (Care Compare)

1150 E Sherman Blvd
Suite 1175
Muskegon, MI 49444-1885
Phone (231) 672-6740

2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333

Hospital & facility affiliations

  • Trinity Health at Home - Muskegon Home health agency, Muskegon, MI, CCN 237198
  • Interim Healthcare of West Michigan Home health agency, Grand Rapids, MI, CCN 239282
  • Harbor Hospice Hospice, Muskegon, MI, CCN 231508
  • Heartland Hospice (Grand Rapids) Hospice, Grand Rapids, MI, CCN 231582
  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network Family Medicine CurrentSince Jul 1, 2001 Accepting new patients
Mercy Health Partners - Physician Specialist CurrentSince Jul 1, 2022 Accepting new patients
Mercy Physician Network Family Medicine Current Accepting new patients

Locations

1223 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-3177

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

3587 Henry St
Ste 200
Norton Shores, MI 49441
Phone (231) 672-6700

1150 E Sherman Blvd
Ste 1175
Norton Shores, MI 49444
Phone (231) 672-6740

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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 7

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1275510034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431848",
            "telephone_number": "231-672-3155",
            "fax_number": "231-672-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3587 HENRY ST STE 200",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-672-6700",
            "fax_number": "231-672-6749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Seminole Rd",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494443720",
            "country_code": "US",
            "telephone_number": "231-733-8679",
            "fax_number": "231-733-8691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301064912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4290562",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275510034",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyoung148654@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mercy Health Physician Partners",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "3587 Henry St Ste 200",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.