Individual provider Active NPI

Kelley Lynne Younkins, NP-C

  • Adult Health Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1427456433
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.16181-NP Issued in OH
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

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151111001129 OH Practitioner - Nurse Practitioner 3375861131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.4 of 100Reported as group
Quality
90.45
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
COA.16181-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Cyril Pain Clinic Inc CurrentSince Sep 1, 2024 Accepting new patients
St. Cyril Pain Clinic CurrentSince Sep 1, 2024 Accepting new patients
Doctors Pain Center, LLC CurrentSince May 11, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.