Individual provider Active NPI

Grant Thomas Young, APRN-CNP

  • Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1629791777
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
210343 Issued in OK
Practice address
3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699
Phone
(405) 241-3539
Fax
(405) 241-0998
NPI assigned
Sep 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Clinical Nurse Specialist 364SG0600X 210343 OK
Nurse Practitioner 363L00000X 210343 OK Primary

Addresses

Primary practice location

3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699

Mailing address

PO Box 258857
Oklahoma City, OK 73125-8857
Phone (405) 241-3539

Other identifiers 1

IdentifierTypeStateIssuer
210343OtherOKOKLAHOMA STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230126001782 OK Practitioner - Nurse Practitioner 2264803469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Health Clinic PLLCGroup PAC ID 5597070326, 23 clinicians

Practice addresses (Care Compare)

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
59.04
Promoting interoperability
97
Improvement activities
40
Cost
74.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210343OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Clinic PLLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

38509 Highway 7 W
Davis, OK 73030
Phone (580) 368-3045

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

Interoperability endpoints

  • Direct secure messaging: grant.young.p1@direct.ahgcardiology.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/23723/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1629791777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258857",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731258857",
            "telephone_number": "405-241-3539",
            "fax_number": "405-241-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342699",
            "telephone_number": "405-241-3539",
            "fax_number": "405-241-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "GRANT",
        "middle_name": "THOMAS",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "OK",
            "license": "210343",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "210343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE BOARD OF NURSING",
            "identifier": "210343",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.