Individual provider Active NPI

Ann-Marie Young, APRN

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1851936223
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9387547 Issued in FL
Practice address
8130 Royal Palm Blvd Ste 205
Coral Springs, FL 33065-5703
Phone
(954) 840-1666
NPI assigned
Nov 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9387547 FL Primary

Addresses

Primary practice location

8130 Royal Palm Blvd Ste 205
Coral Springs, FL 33065-5703

Mailing address

8130 Royal Palm Blvd Ste 205
Coral Springs, FL 33065-5703
Phone (954) 840-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200131000048 FL Practitioner - Nurse Practitioner 7719313295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9387547FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

8130 Royal Palm Blvd
Ste 205
Coral Springs, FL 33065
Phone (954) 340-1500

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

1732 S Congress Ave
Palm Springs, FL 33461
Phone (561) 385-0731

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • Direct secure messaging: ann-marie.young.1@32578.direct.athenahealth.com

Organizations & group practices 1

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": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1851936223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD STE 205",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-840-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 ROYAL PALM BLVD STE 205",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655703",
            "telephone_number": "954-840-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANN-MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-03-09",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9387547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.