Active NPI
Jennifer Lynne Young, M.D.
- Vascular & Interventional Radiology Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 85275
- Practice address
- 2845 Greenbrier Rd
Green Bay, WI 54311-6519 - Phone
- (920) 288-4848
- Fax
- (920) 288-4956
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 01083450A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | 85275 | WI | Primary |
Addresses
Primary practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Phone (920) 490-9046
Other practice location 1
4201 St. Antoine
Detroit, MI 48201
Phone (313) 577-5009
Other practice location 2
520 S 7th St
Vincennes, IN 47591-1038
Phone (812) 885-3939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3280
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85275 | WI | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Good Samaritan Hospital Physician Services, Inc | Current | Accepting new patients | |
| Good Samaritan Hospital | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Baycare Clinic LLP | Current | Accepting new patients | |
| Baycare Aurora, LLC | Current | Accepting new patients |
Locations
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
2005 State St
Ste A
Washington, IN 47501
Phone (812) 254-4650
2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400
1160 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-5400
1035 Kepler Dr
Green Bay, WI 54311
2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388
2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- Emergency Medicine Physician
- Green Bay, WI
- NPI 1588609648
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1134490758
-
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1760145973
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Two Rivers, WI
- NPI 1477508687
-
- General Acute Care Hospital
- Marinette, WI
- NPI 1043397177
-
- Clinical Medical Laboratory
- Marinette, WI
- NPI 1083791115
Hospital
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1255387726
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1851711469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 KEPLER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118320",
"telephone_number": "920-490-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2845 GREENBRIER RD",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543116519",
"telephone_number": "920-288-4848",
"fax_number": "920-288-4956"
}
],
"practiceLocations": [
{
"address_1": "4201 St. Antoine",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "48201",
"country_code": "US",
"telephone_number": "313-577-5009",
"fax_number": "313-577-5310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 S 7th St",
"address_purpose": "LOCATION",
"city": "Vincennes",
"state": "IN",
"postal_code": "475911038",
"country_code": "US",
"telephone_number": "812-885-3939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01083450A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "WI",
"license": "85275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.