Patricia Jo Young, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

73974 Issued in ID

Practice address

1810 Moran St
Idaho Falls, ID 83401-4337

Phone

(208) 529-0342

Fax

(208) 529-6981

NPI assigned

Apr 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospice of Eastern Idaho, IncGroup PAC ID 8628087145, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospice of Eastern Idaho, Inc.

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
  • NPI 1407859721
  Medicare reassignment Care Compare group NPD
• Hospice of Eastern Idaho, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Idaho Falls, ID
  • NPI 1699593376
  NPD

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1790473692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MORAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014337",
            "telephone_number": "208-529-0342",
            "fax_number": "208-529-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MORAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014337",
            "telephone_number": "208-529-0342",
            "fax_number": "208-529-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PATRICIA",
        "middle_name": "JO",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "73974",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ID",
            "license": "73974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yellowstone Care Center, Inc.
• Yellowstone Care Center, Inc.
• Yellowstone Care Center, Inc.
• Yellowstone Care Center, Inc.
• Kerry Vince Young, D.C.
• Peggy Lynn Young, NP-C
• Karma Youngstrom, PA-C
• Li Yu, O.M.D.
• Julia Zapadka, LPC
• Michael Zeim, PA-C

• Gerontology Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Gerontology Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.