Individual provider Active NPI

Angela Young

  • Primary Care Nurse Practitioner
  • Bedford, IN
National Provider Identifier
1730960428
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F07231307 Issued in IN
Practice address
1600 23Rd St # 100
Bedford, IN 47421-4704
Phone
(812) 804-3400
Fax
(812) 954-0465
NPI assigned
Oct 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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 F07231307 IN Primary

Addresses

Primary practice location

1600 23Rd St # 100
Bedford, IN 47421-4704

Mailing address

11313 USA Pkwy Ste E148
Fishers, IN 46037-9208
Phone (317) 781-4500

Other practice location 1

6125 Inwood Dr
Columbus, IN 47201-5698
Phone (317) 752-9878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20231129000266 IN Practitioner - Nurse Practitioner 9739537929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Community Health Medical Center IncGroup PAC ID 3971908252, 2 clinicians
Lifespan Advanced Care LLCGroup PAC ID 7911484944, 15 clinicians

Practice addresses (Care Compare)

111 Arrowhead TRL
Bedford, IN 47421-5820
Phone (812) 203-4718

118 Medical Dr
Carmel, IN 46032-3323
Phone (317) 844-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F07231307INMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Community Health Medical Center, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Lifespan Advanced Care LLC CurrentSince Dec 17, 2025 Accepting new patients

Locations

111 Arrowhead Trl
Bedford, IN 47421
Phone (812) 203-4718

1600 23rd St
#100
Bedford, IN 47421
Phone (812) 804-3400

118 Medical Dr
Carmel, IN 46032
Phone (317) 573-1037

11313 USA Pkwy
Ste E148
Fishers, IN 46037
Phone (314) 781-4500

3525 E Hanna Ave
#L
Indianapolis, IN 46237
Phone (317) 788-4261

326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1730960428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11313 USA PKWY STE E148",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379208",
            "telephone_number": "317-781-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 23RD ST # 100",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214704",
            "telephone_number": "812-804-3400",
            "fax_number": "812-954-0465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 Inwood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015698",
            "country_code": "US",
            "telephone_number": "317-752-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "F07231307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.