Individual provider Active NPI

Rebecca Anne Young, CRNP MSN

  • Adult Health Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1508000506
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP010270 Issued in PA
Practice address
2301 Columbia Ave
Lancaster, PA 17603-4154
Phone
(717) 397-2738
Fax
(717) 397-7634
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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 SP010270 PA Primary

Addresses

Primary practice location

2301 Columbia Ave
Lancaster, PA 17603-4154

Mailing address

2301 Columbia Ave
Lancaster, PA 17603-4154
Phone (717) 397-2738

Other names 1

  • Rebecca Anne Bauder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100209000062 PA Practitioner - Nurse Practitioner 1254474505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

555 N Duke St
Lancaster, PA 17602-2250

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010270PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Oct 8, 2012 Accepting new patients
Lancaster General Hospital CurrentSince Oct 8, 2012 Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

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 3

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1508000506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034154",
            "telephone_number": "717-397-2738",
            "fax_number": "717-397-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 COLUMBIA AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034154",
            "telephone_number": "717-397-2738",
            "fax_number": "717-397-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNP MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BAUDER",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.