Mario Young, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

77098 Issued in NM

Practice address

7401 Hancock CT NE Ste B
Albuquerque, NM 87109-4594

Phone

(505) 322-2510

NPI assigned

Dec 14, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bella Vida Health Care and Medi SpaGroup PAC ID 6507092327, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bella Vida Health Care and Medi Spa

  • Health Service Clinic/Center
  • Los Lunas, NM
  • NPI 1568704237
  Medicare reassignment Care Compare group NPD
• Infinity Medical Center

  • Chiropractor
  • Albuquerque, NM
  • NPI 1811178247
  NPD
• Scott Walker NP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1538604095
  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1720856206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 HANCOCK CT NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094594",
            "telephone_number": "505-553-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 HANCOCK CT NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094594",
            "telephone_number": "505-322-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARIO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "77098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah James Young, PHARMD
• Jarrid Allen Young, PHARMD
• Jeffrey Young
• Kaitlin Diane Young, CNP
• Kathryn Young, MA LMHC
• Mark Young, MSPT
• Mary Tran Young, PHARMD
• Maryssa Aryana Young
• Melissa Young, L.M.T.
• Morgan Young

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.

Verify at the official NPI Registry.