Individual provider Active NPI

Jennifer Michele Young, RN MSN APRN FNP-C

  • Family Nurse Practitioner
  • Cisco, TX
National Provider Identifier
1659739969
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130079 Issued in TX
Practice address
707 Conrad Hilton Blvd
Cisco, TX 76437-3139
Phone
(544) 884-8652
Fax
(544) 884-8662
NPI assigned
Feb 1, 2016
Last updated
Apr 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 AP130079 TX Primary

Addresses

Primary practice location

707 Conrad Hilton Blvd
Cisco, TX 76437-3139

Mailing address

707 Conrad Hilton Blvd
Cisco, TX 76437-3139
Phone (544) 884-8652

Other names 1

  • Jennifer M Barnett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160831000198 TX Practitioner - Nurse Practitioner 3870889892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP130079TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jul 8, 2022 Accepting new patients
Hendrick Health Urgent Care CurrentSince Apr 21, 2021 Accepting new patients
Affinity Family Health, PLLC Family CurrentSince Jul 21, 2017 Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

4424 Buffalo Gap Rd
Abilene, TX 79606
Phone (253) 999-9685

400 E Commerce St
Brownwood, TX 76801
Phone (325) 510-5418

707 Conrad Hilton Blvd
Cisco, TX 76437
Phone (254) 488-4865

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

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.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1659739969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CONRAD HILTON BLVD",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764373139",
            "telephone_number": "544-884-8652",
            "fax_number": "544-884-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 CONRAD HILTON BLVD",
            "city": "CISCO",
            "state": "TX",
            "postal_code": "764373139",
            "telephone_number": "544-884-8652",
            "fax_number": "544-884-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "MICHELE",
        "credential": "RN MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BARNETT",
            "middle_name": "M",
            "credential": "RN MSN APRN FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cisco, TX

Sources for this page

Verify at the official NPI Registry.