Active NPI
Megan Kristine Young, APRN, FNP-BC
- Nurse Practitioner
- O'Fallon, IL
National Provider Identifier
1619741790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209028926
- Practice address
- 1472 N Green Mount Rd
O Fallon, IL 62269-3416 - Phone
- (618) 680-0860
- Fax
- (888) 974-3868
- NPI assigned
- Nov 9, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209028926 | IL | Primary |
| Registered Nurse | 163W00000X | 041392424 | IL |
Addresses
Primary practice location
1472 N Green Mount Rd
O Fallon, IL 62269-3416
Mailing address
846 W 4TH St
Aviston, IL 62216-3460
Phone (618) 641-1931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231220002305 | IL | Practitioner - Nurse Practitioner | 6507216363 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041392424 | IL | MD | Registered Nurse |
Interoperability endpoints
- megan.young.1@23284.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1619741790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "846 W 4TH ST",
"city": "AVISTON",
"state": "IL",
"postal_code": "622163460",
"telephone_number": "618-641-1931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1472 N GREEN MOUNT RD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622693416",
"telephone_number": "618-680-0860",
"fax_number": "888-974-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MEGAN",
"middle_name": "KRISTINE",
"credential": "APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-09",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209028926",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041392424",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.