Individual provider Active NPI

Jeanne M. Young, M.D.

  • MOHS-Micrographic Surgery Physician
  • Avon, CT
National Provider Identifier
1285715300
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
70355 Issued in CT
Practice address
1 Darling Dr
Avon, CT 06001-4277
Phone
(860) 348-4242
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101257918 VA
Dermatology Physician 207N00000X 70355 CT
MOHS-Micrographic Surgery Physician 207ND0101X 70355 CT Primary

Addresses

Primary practice location

1 Darling Dr
Avon, CT 06001-4277

Mailing address

1111 Cromwell Ave Ste 202
Rocky Hill, CT 06067-3454
Phone (860) 348-4242

Other practice location 1

1111 Cromwell Ave Ste 202
Rocky Hill, CT 06067-3454
Phone (860) 348-4242

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyoung173446@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151012000146 VA Practitioner - Dermatology 7214034909 Reassigns benefits to 1 organization
I20220526001400 CT Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 7214034909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
East Tennessee State University Quillen College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Connecticut Dermatology PLLCGroup PAC ID 8527301365, 20 clinicians

Practice addresses (Care Compare)

1 Willowbrook Rd
Suite 2
Cromwell, CT 06416-1745
Phone (860) 322-2222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of skin lesions97
Removal of skin cancer154
Removal or shaving of skin growth1-10
Skin biopsy71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257918VAMDDermatology Physician
70355CTMDMOHS-Micrographic Surgery Physician
003473GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Jul 1, 2022 Accepting new patients
Central Connecticut Dermatology, PLLC Dermatology CurrentSince Apr 1, 2024 Accepting new patients
Starling Physicians, PLLC CurrentSince Jul 1, 2022 Accepting new patients
University of Virginia Physicians Group CurrentSince Aug 4, 2015 Accepting new patients
Starling Physicians, PLLC PastSince Jul 17, 2022 Accepting new patients
Perimeter Orthopaedics, P.C. Past Accepting new patients

Locations

1 Darling Dr
Avon, CT 06001
Phone (203) 691-9899

40 Dale Rd
Ste 100
Avon, CT 06001
Phone (860) 322-2222

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

1 Northwestern Dr
Ste 301
Bloomfield, CT 06002
Phone (860) 243-2951

499 Farmington Ave
Ste 230
Farmington, CT 06032
Phone (860) 322-2222

499 Farmington Ave
Farmington, CT 06032
Phone (860) 549-8986

1111 Cromwell Ave
Ste 202
Rocky Hill, CT 06067
Phone (203) 397-8000

340 Buckland Rd
Fl 2
South Windsor, CT 06074
Phone (860) 322-2222

1221 Lee St
Charlottesville, VA 22908

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

Interoperability endpoints

  • Direct secure messaging: jyoung@starlingphysicians.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/21378/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1285715300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CROMWELL AVE STE 202",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673454",
            "telephone_number": "860-348-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DARLING DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014277",
            "telephone_number": "860-348-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Cromwell Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060673454",
            "country_code": "US",
            "telephone_number": "860-348-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JEANNE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101257918",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "70355",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "70355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung173446@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 Lee St",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.