Sharon Young, NP
Individual provider Active NPI Family Nurse Practitioner · Avon, IN
NPI 1699167155 · NPPES record last updated Sep 7, 2022
Key facts
- NPI
- 1699167155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71005398A (IN)
- Practice address
- 7990 E US Highway 36
Avon, IN 46123-7790 - Phone
- (317) 272-0242
- NPI assigned
- Feb 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151020000222 | IN | Practitioner - Nurse Practitioner | 8921317678 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005398A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Community Physicians of Indiana Inc | Current |
Accepting new patients | |
| Midwest Indiana Four Medical Group, PLLC | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
8905 E 10th St
Indianapolis, IN 46219
Phone (317) 895-0023
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
Interoperability endpoints
- syoung164259@ecommunitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71005398A | IN | Yes |
Addresses
Primary practice location
7990 E US Highway 36
Avon, IN 46123-7790
Mailing address
7990 E US Highway 36
Avon, IN 46123-7790
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | syoung164259@eCommunityDirect.com | Community Physicians of Indiana Inc |
Other providers in Avon, IN
- Cherry Anne F Yap
- Michael David Yeary
- Lauren Marie Yekel
- Alicia R Yilmaz
- Carly J Yoder
- Sierra Young
- Bark Wende Zagre Yaogho
- Kristin Nicole Zajdel
- Alyssa Michelle Zalenski
- Mackenzie Zambrano
All providers in Avon, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.