Richard M Young, APRN
Individual provider Active NPI Family Nurse Practitioner · Laconia, NH
NPI 1790746303 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1790746303
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 048292-23 (NH)
- Practice address
- 22 Strafford St
Laconia, NH 03246-4701 - Phone
- (603) 934-0177
- Fax
- (603) 934-2805
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthfirst Family Care Center Inc
Practice addresses (Care Compare)
841 Central St
Franklin, NH 03235-2026
Phone (603) 934-1464
Hospital & facility affiliations
- Granite Vna, Inc
- Concord Hospital- Laconia
- Speare Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- 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 |
|---|---|---|---|---|
| I20050629000066 | NH | Practitioner - Nurse Practitioner | 3870539059 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048292-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Family Care Center, Inc. | Current |
Accepting new patients | |
| Healthfirst Family Care Center, Inc. | Current |
Accepting new patients | |
| The Lakes Region Mental Health Center, Inc. | Past |
Accepting new patients |
Locations
841 Central St
Franklin, NH 03235
Phone (603) 934-0177
22 Strafford St
Ste 1
Laconia, NH 03246
Phone (603) 366-1070
111 Church St
Laconia, NH 03246
Phone (603) 934-1464
Interoperability endpoints
- richard.young.1@28435.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 048292-23-03 | NH | |
| Family Nurse Practitioner | 363LF0000X | 048292-23 | NH | Yes |
Addresses
Primary practice location
22 Strafford St
Laconia, NH 03246-4701
Mailing address
841 Central St
Franklin, NH 03235-2026
Phone (603) 934-0177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30341087 | Medicaid | NH |
Other providers in Laconia, NH
- Nancy Wrath
- Natalia M Wylie
- Kristin Yonge
- Garret C Yost
- Melissa Young
- Serena J Young
- Irina A Yurkova
- Katherine Zagroba
- Paula J Zappala
- Maira Danizza Zegarra
All providers in Laconia, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.