Active NPI
Angela T Young, PA-C
- Physician Assistant
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00393
- Practice address
- 1100 22ND St SE
Salem, OR 97302-6558 - Phone
- (503) 967-6771
- Fax
- (503) 385-8421
- NPI assigned
- Nov 22, 2005
- Last updated
- Nov 29, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00393 | OR | Primary |
Addresses
Primary practice location
1100 22ND St SE
Salem, OR 97302-6558
Mailing address
1100 22ND St SE
Salem, OR 97302-6558
Phone (503) 967-6771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health | Current | Accepting new patients | |
| Doctors Clinic LLP | Past | Accepting new patients |
Locations
5050 Skyline Village Loop S
Salem, OR 97306
Phone (503) 291-2123
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
875 Oak St SE
Ste 3010
Salem, OR 97301
Phone (503) 399-7520
875 Oak St SE
Ste C3010
Salem, OR 97301
Phone (503) 399-7520
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Salem, OR
- NPI 1124316567
-
- Durable Medical Equipment & Medical Supplies
- Keizer, OR
- NPI 1487434775
-
- Family Medicine Physician
- Salem, OR
- NPI 1841275393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1578546743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 22ND ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973026558",
"telephone_number": "503-967-6771",
"fax_number": "503-385-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 22ND ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973026558",
"telephone_number": "503-967-6771",
"fax_number": "503-385-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANGELA",
"middle_name": "T",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA00393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.