Individual provider Active NPI

Mackenzie Young, FNP-C

  • Primary Care Nurse Practitioner
  • Madisonville, KY
National Provider Identifier
1720860901
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4010592 Issued in KY
Practice address
44 McCoy Ave
Madisonville, KY 42431-2867
Phone
(270) 825-0020
Fax
(270) 825-0016
NPI assigned
Oct 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4010592 KY Primary

Addresses

Primary practice location

44 McCoy Ave
Madisonville, KY 42431-2867

Mailing address

44 McCoy Ave Ste 227
Madisonville, KY 42431-2867
Phone (270) 825-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240215001231 KY Practitioner - Nurse Practitioner 8022452291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Deaconess Medical Group IncGroup PAC ID 6103220330, 241 clinicians
Urology Partners of Western Ky PSCGroup PAC ID 1557359965, 6 clinicians

Practice addresses (Care Compare)

200 Clinic Dr
Madisonville, KY 42431-1661
Phone (270) 825-7669

250 Main St
Suite E
Cadiz, KY 42211-9153
Phone (270) 825-0020

254 Main St
Cadiz, KY 42211-9153
Phone (270) 522-3215

323 8TH St
Henderson, KY 42420-2927
Phone (270) 827-2915

44 McCoy Ave
Suite 227
Madisonville, KY 42431-2867
Phone (270) 825-0020

Hospital & facility affiliations

  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093
  • Owensboro Health Regional Hospital Hospital, Owensboro, KY, CCN 180038
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4010592KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Partners of Western Ky, PSC CurrentSince Dec 12, 2023 Accepting new patients
Baptist Health Deaconess Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Baptist Health Deaconess Medical Group Inc Current Accepting new patients
Baptist Health Madisonville Inc Past Accepting new patients

Locations

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

323 8th St
Henderson, KY 42420
Phone (270) 827-2548

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

500 Clinic Dr
Hopkinsville, KY 42240
Phone (270) 707-3300

44 McCoy Ave
Ste 227
Madisonville, KY 42431
Phone (270) 825-0020

200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874

44 McCoy Ave
Madisonville, KY 42431
Phone (270) 821-6818

800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900

1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000

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 and National Provider Directory roles.

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": "1697760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1720860901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE STE 227",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-825-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-825-0020",
            "fax_number": "270-825-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MACKENZIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "4010592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.