NPIMap

Individual provider Active NPI

Alysa Young, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1447644125
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015006762 Issued in MO
Practice address
4921 Parkview Place
Mailstop 90-32-683
Saint Louis, MO 63110
Phone
(314) 454-8134
Fax
(314) 454-8180
NPI assigned
Mar 20, 2015
Last updated
Mar 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015006762 MO Primary

Addresses

Primary practice location

4921 Parkview Place
Mailstop 90-32-683
Saint Louis, MO 63110

Mailing address

4921 Parkview Place
Mailstop 90-32-683
Saint Louis, MO 63110

Other names 1

  • Alysa Willeford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815002067 NC Practitioner - Nurse Practitioner 2769754548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-8 LLCGroup PAC ID 3870740012, 47 clinicians

Practice addresses (Care Compare)

7473 NC Hwy 22
Whispering Pines, NC 28327-8514
Phone (910) 215-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
73
Promoting interoperability
94
Improvement activities
40
Cost
82.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015006762MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC CurrentSince Sep 19, 2020 Accepting new patients
MCPC-8, LLC CurrentSince Sep 19, 2020 Accepting new patients
MCPC-24, LLC CurrentSince Oct 4, 2023 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

522 Allen St
Ste 203
Troy, NC 27371
Phone (910) 571-5151

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1426809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426809600000",
    "number": "1447644125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PLACE",
            "address_2": "MAILSTOP 90-32-683",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PLACE",
            "address_2": "MAILSTOP 90-32-683",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-454-8134",
            "fax_number": "314-454-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ALYSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015006762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSA",
            "last_name": "WILLEFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.