Individual provider Active NPI

Brandon L Young, NP

  • Nurse Practitioner
  • Fairbanks, AK
National Provider Identifier
1609199629
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R874330 Issued in MS
Practice address
1717 W Cowles St
Fairbanks, AK 99701-5926
Phone
(907) 451-6682
NPI assigned
Mar 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 146976 MT
Nurse Practitioner 363L00000X AP61679812 WA
Nurse Practitioner 363L00000X R874330 MS Primary

Addresses

Primary practice location

1717 W Cowles St
Fairbanks, AK 99701-5926

Mailing address

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

Other practice location 1

1717 W Cowles St
Fairbanks, AK 99701-5926
Phone (907) 451-6682

Other identifiers 1

IdentifierTypeStateIssuer
F0110006OtherMSAANP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT, AK, WA, OR, NM6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20210426001126 TX Practitioner - Nurse Practitioner 9537299573
I20220217002509 MT Practitioner - Nurse Practitioner 9537299573 Reassigns benefits to 4 organizations
I20240517002503 AK Practitioner - Nurse Practitioner 9537299573 Reassigns benefits to 2 organizations
I20250520002255 WA Practitioner - Nurse Practitioner 9537299573 Reassigns benefits to 1 organization
I20250717003431 OR Practitioner - Nurse Practitioner 9537299573 Reassigns benefits to 2 organizations
I20260302002839 NM Practitioner - Nurse Practitioner 9537299573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians
Sound Physicians Emergency Medicine of Washington PLLCGroup PAC ID 7315279007, 22 clinicians

Practice addresses (Care Compare)

236 Yellowstone Ave
West Yellowstone, MT 59758-8946
Phone (406) 646-9441

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 941-7000

4900 N Lovington Hwy
Hobbs Hospital
Hobbs, NM 88240-9109
Phone (575) 492-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R874330MSMDNurse Practitioner
146976MTMDNurse Practitioner
AP61679812WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation CurrentSince Apr 1, 2024 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Jun 30, 2022 Accepting new patients
Wheatland Memorial Healthcare CurrentSince Jun 30, 2022 Accepting new patients
Billings Clinic CurrentSince Jun 3, 2025 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Nurse Practitioner CurrentSince Feb 1, 2026 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Pioneer Medical Center Current Accepting new patients
Billings Clinic Current Accepting new patients
Norton Sound Health Corporation CurrentSince Apr 1, 2024 Accepting new patients
Benefis Community Hospitals, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Benefis Community Hospitals, Inc. CurrentSince Oct 28, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Nurse Practitioner CurrentSince Apr 24, 2025 Accepting new patients
Salem Health West Valley CurrentSince Jul 8, 2025 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner Past Accepting new patients
Billings Clinic Past Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344

1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: blyoung@direct.nshcorp.org

Organizations & group practices 15

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.

View all 15

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": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1609199629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015926",
            "telephone_number": "907-451-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015926",
            "telephone_number": "907-451-6682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 W Cowles St",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015926",
            "country_code": "US",
            "telephone_number": "907-451-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRANDON",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "146976",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61679812",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R874330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F0110006",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.