Melissa Lyn Young, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0997242 Issued in CO

Practice address

1120 Minnequa Ave
Pueblo, CO 81004-3734

Phone

(719) 239-3109

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Primary CareGroup PAC ID 3577988864, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary-Corwin Hospital Hospital, Pueblo, CO, CCN 060012
• Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Summit Primary Care

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1356962849
  Medicare reassignment Care Compare group NPD
• Summit Primary Care

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1720861230
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1306857974
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1841830452
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • Nursing Facility/Intermediate Care Facility
  • Pueblo, CO
  • NPI 1942391487

  Hospital

  Care Compare affiliation
• Parkview Medical Center, Inc

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1184263527
  Care Compare affiliation
• Parkview Medical Center, Inc

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1376183145
  Care Compare affiliation
• Parkview Medical Center, Inc

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1417596834
  Care Compare affiliation
• Parkview Medical Center, Inc

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1427689652
  Care Compare affiliation
• Parkview Medical Center, Inc.

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1104881507
  Care Compare affiliation
• Parkview Medical Center, Inc.

  • General Acute Care Hospital
  • Pueblo, CO
  • NPI 1134751712
  Care Compare affiliation
• Parkview Medical Center, Inc.

  • General Acute Care Hospital
  • Pueblo West, CO
  • NPI 1821720681
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1609529197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043734",
            "telephone_number": "719-947-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MINNEQUA AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043734",
            "telephone_number": "719-239-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MELISSA",
        "middle_name": "LYN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0997242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young and Graham, P.C.
• Young at Heart Dentistry
• Donald J Young, NP
• Eric M Young, D.C
• Kathy Ann Young
• Regan Young, LCSW, CACIII
• Scott Alan Young, PSY.D.
• Sylvia Lysandra Young, NP
• Talisha Young
• Jennifer Renee Youngblood, R.M.T.

• Family Nurse Practitioner in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.