Active NPI
Kelley Lynne Younkins, NP-C
- Adult Health Nurse Practitioner
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- COA.16181-NP
- Practice address
- 1011 Boardman Canfield Rd
Youngstown, OH 44512-4226 - Phone
- (330) 629-2888
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | COA.16181-NP | OH | Primary |
Addresses
Primary practice location
1011 Boardman Canfield Rd
Youngstown, OH 44512-4226
Mailing address
1011 Boardman Canfield Rd
Youngstown, OH 44512-4226
Phone (330) 629-2888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.4 of 100
- Quality
- 90.45
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.16181-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Cyril Pain Clinic Inc | Current | Accepting new patients | |
| St. Cyril Pain Clinic | Current | Accepting new patients | |
| Doctors Pain Center, LLC | Current | Accepting new patients |
Locations
8740 E Market St
Ste 2
Warren, OH 44484
Phone (330) 647-6404
1621 E Market St
Ste A
Warren, OH 44483
Phone (330) 726-3800
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
1350 E Market St
Fl 9
Warren, OH 44483
Phone (219) 240-0450
1011 Boardman Canfield Rd
Youngstown, OH 44512
Phone 3306292888109
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.
-
- Pain Medicine (Anesthesiology) Physician
- Boardman, OH
- NPI 1386698215
-
- Pain Medicine Physician
- Warren, OH
- NPI 1639312689
-
- Pain Medicine Physician
- Warren, OH
- NPI 1780953976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1427456433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 BOARDMAN CANFIELD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445124226",
"telephone_number": "330-629-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BOARDMAN CANFIELD RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445124226",
"telephone_number": "330-629-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNKINS",
"first_name": "KELLEY",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-08",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA.16181-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
- Youngstown State University Student Health
- Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc
- Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Program (Yumadaop)
- Youngstown-Warren Home Dialysis LLC
- Randy J Younkin, LPCC
- Shawn Allan Yount
- Your Mobile Cosmo
- Hadil Farid Yousef
- Patricia Yovich, LSW
- Nina Marie Yurcisin, BA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.