William Travis Young, ARNP, FNP-C
Individual provider Active NPI Nurse Practitioner · Crittenden, KY
NPI 1750899142 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1750899142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3013589 (KY)
- Practice address
- 405 Violet Rd
Crittenden, KY 41030-8956 - Phone
- (859) 903-0268
- Fax
- (859) 428-1444
- NPI assigned
- Jan 19, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 912-7193
1640 Flossie Dr
Greendale, IN 47025-8424
Phone (855) 277-4230
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Grant
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, 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 |
|---|---|---|---|---|
| I20191127000876 | KY | Practitioner - Nurse Practitioner | 0648533281 | Reassigns benefits to 1 organization |
| I20220906000185 | IN | Practitioner - Nurse Practitioner | 0648533281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013589 | KY | MD | Nurse Practitioner |
| 9330723 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Summit Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Summit Medical Group, Inc. | Nurse Practitioner | Current |
Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
1640 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 496-3285
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Networks
- Freedom Health HMO Network
Interoperability endpoints
- wyoung297348@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71011373A | IN | |
| Family Nurse Practitioner | 363LF0000X | 9330723 | FL | |
| Nurse Practitioner | 363L00000X | 3013589 | KY | Yes |
Addresses
Primary practice location
405 Violet Rd
Crittenden, KY 41030-8956
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Other providers in Crittenden, KY
All providers in Crittenden, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.