Individual provider Active NPI

Miranda Young, CFNP

  • Family Nurse Practitioner
  • Hobbs, NM
National Provider Identifier
1629540588
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54761 Issued in NM
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313001176 NM Practitioner - Nurse Practitioner 3577803444 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
54761NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Medical Group Inc. Family CurrentSince Jan 27, 2019 Accepting new patients
Womens Care Clinic of Lea County Family CurrentSince May 1, 2023 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

  • Direct secure messaging: miranda.young.1@25383.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25383/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.