Individual provider Active NPI

Misty Lene' Young, PA-C

  • Physician Assistant
  • Georgetown, TX
National Provider Identifier
1295870624
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05150 Issued in TX
Practice address
4887 Williams Dr Ste 107
Georgetown, TX 78633-2440
Phone
(512) 588-7008
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05150 TX Primary

Addresses

Primary practice location

4887 Williams Dr Ste 107
Georgetown, TX 78633-2440

Mailing address

4887 Williams Dr Ste 107
Georgetown, TX 78633-2440
Phone (512) 588-7008

Other practice location 1

4875 Williams Dr
Georgetown, TX 78633-2429
Phone (512) 588-7008

Other practice location 2

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-0454

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address myoung14389@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070712000489 TX Practitioner - Physician Assistant 6800996364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Wellness Bay LLCGroup PAC ID 0941736094, 2 clinicians

Practice addresses (Care Compare)

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

4887 Williams Dr
Suite 107
Georgetown, TX 78633-2440
Phone (512) 588-7008

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05150TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Bay LLC CurrentSince Mar 6, 2026 Accepting new patients
Scott & White Clinic CurrentSince Jan 1, 2016 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

4887 Williams Dr
Ste 107
Georgetown, TX 78633
Phone (512) 588-7008

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

1605 S 31st St
Temple, TX 76504
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: myoung14389@direct.sw.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGGDD/Endpoint/IBGGDD

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 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1295870624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332440",
            "telephone_number": "512-588-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 WILLIAMS DR STE 107",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786332440",
            "telephone_number": "512-588-7008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4875 Williams Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786332429",
            "country_code": "US",
            "telephone_number": "512-588-7008",
            "fax_number": "888-440-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-0454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MISTY",
        "middle_name": "LENE'",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myoung14389@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.