Active NPI
Miranda Young, CFNP
- Family Nurse Practitioner
- Hobbs, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 54761
- Practice address
- 5419 N Lovington Hwy Ste 35
Hobbs, NM 88240-9136 - Phone
- (575) 241-1211
- Fax
- (575) 241-1221
- NPI assigned
- Dec 17, 2018
- Last updated
- Mar 21, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 54761 | NM | Primary |
Addresses
Primary practice location
5419 N Lovington Hwy Ste 35
Hobbs, NM 88240-9136
Mailing address
5419 N Lovington Hwy Ste 35
Hobbs, NM 88240-9136
Phone (575) 241-1211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5419 N Lovington Hwy
Suite 35
Hobbs, NM 88240-9136
Phone (575) 241-1211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54761 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Medical Group Inc. | Family | Current | Accepting new patients |
| Womens Care Clinic of Lea County | Family | Current | Accepting new patients |
| Bliss Aesthetics Medical Spa LLC | Current | Accepting new patients | |
| Briarwood Clinic, LLC | Family | Past | Accepting new patients |
Locations
5419 N Lovington Hwy
Ste 35
Hobbs, NM 88240
Phone (575) 241-1211
2410 N Fowler St
Hobbs, NM 88240
Phone (505) 392-2040
Interoperability endpoints
- miranda.young.1@25383.direct.athenahealth.com
- https://api.platform.athenahealth.com/25383/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4
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.
-
- Family Nurse Practitioner
- Hobbs, NM
- NPI 1992456354
-
dba Bliss Aesthetics Med Spa
- Obesity Medicine (Preventive Medicine) Physician
- Hobbs, NM
- NPI 1831817758
-
- Family Nurse Practitioner
- Midland, TX
- NPI 1881069995
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Artesia, NM
- NPI 1437286044
-
dba Covenant Health Hobbs Hospital
- General Acute Care Hospital
- Hobbs, NM
- NPI 1215534466
-
- Critical Access Hospital
- Lovington, NM
- NPI 1881630036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1629540588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 N LOVINGTON HWY STE 35",
"city": "HOBBS",
"state": "NM",
"postal_code": "882409136",
"telephone_number": "575-241-1211",
"fax_number": "575-241-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5419 N LOVINGTON HWY STE 35",
"city": "HOBBS",
"state": "NM",
"postal_code": "882409136",
"telephone_number": "575-241-1211",
"fax_number": "575-241-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MIRANDA",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "54761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.