Individual provider Active NPI

Shannen Young

  • Certified Registered Nurse Anesthetist
  • Morehead City, NC
National Provider Identifier
1427759877
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
143169 Issued in MO
Practice address
3500 Arendell St
Morehead City, NC 28557-2901
Phone
(252) 499-6000
NPI assigned
Mar 13, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 143169 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3500 Arendell St
Morehead City, NC 28557-2901

Mailing address

PO Box 2224
Morehead City, NC 28557-2224
Phone (816) 419-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240315001986 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527404250 Reassigns benefits to 9 organizations
I20240320002404 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527404250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 N Oakland Ave
Bolivar, MO 65613-3011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
143169MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy St. Francis Hospital CurrentSince May 6, 2024 Accepting new patients
Mercy St. Francis Hospital CurrentSince May 6, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 6, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince May 6, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 6, 2024 Accepting new patients
Mercy Hospital Cassville CurrentSince May 6, 2024 Accepting new patients
Mercy Hospital Aurora CurrentSince May 6, 2024 Accepting new patients
Citizens Memorial Hospital District CurrentSince Jan 29, 2024 Accepting new patients
Mercy Hospital Aurora CurrentSince May 6, 2024 Accepting new patients
Citizens Memorial Hospital District Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2024 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Jan 29, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince May 6, 2024 Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3045 S National Ave
Springfield, MO 65804
Phone (417) 820-5260

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1427759877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2224",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572224",
            "telephone_number": "816-419-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572901",
            "telephone_number": "252-499-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHANNEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "143169",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.