Individual provider Active NPI

Erica Young, APRN-CNP

  • Gerontology Nurse Practitioner
  • Perryville, AR
National Provider Identifier
1881386910
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
224501 Issued in AR
Practice address
1016 N Fourche Ave
Perryville, AR 72126-8545
Phone
(501) 238-1284
NPI assigned
May 25, 2023
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1214625 TX
Gerontology Nurse Practitioner 363LG0600X 40884 TN
Gerontology Nurse Practitioner 363LG0600X 224501 AR Primary
Gerontology Nurse Practitioner 363LG0600X 3-003069 AL

Addresses

Primary practice location

1016 N Fourche Ave
Perryville, AR 72126-8545

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 202-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX, MS, FL, MO, TN, LA, AL8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20230905001346 AR Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 6 organizations
I20251209000208 TX Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 2 organizations
I20260521003703 MS Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 1 organization
I20260525000326 FL Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 1 organization
I20260527003982 MO Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 1 organization
I20260528000004 TN Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 1 organization
I20260623004525 LA Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 1 organization
I20260625000505 AL Practitioner - Nurse Practitioner 2466815741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Venvisor Health of Ar PAGroup PAC ID 8022551647, 55 clinicians
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians
Curana Health of Arkansas LLCGroup PAC ID 1658684675, 12 clinicians
Chaim Gitelis DO PCGroup PAC ID 6507090396, 18 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

609 SW 8TH St
6TH Floor
Bentonville, AR 72712-8913
Phone (337) 991-9276

815 Peach St
Tomball, TX 77375-4745
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LTC LLC Current Accepting new patients
Chaim Gitelis DO PC CurrentSince Oct 4, 2025 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Sep 1, 2025 Accepting new patients
Neuroscience Associates PA CurrentSince Mar 6, 2024 Accepting new patients
Curana Health of Arkansas LLC CurrentSince Dec 13, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 22, 2023 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Sep 1, 2025 Accepting new patients
Venvisor Health of Ar PA CurrentSince Mar 10, 2025 Accepting new patients
Wound Solutions of Nwa, LLC Past Accepting new patients
Wound Solutions of Semo LLC Past Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (855) 632-6940

609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579

20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820

5201 Northshore Dr
#100
North Little Rock, AR 72118
Phone (615) 686-2262

1016 N Fourche Ave
Perryville, AR 72126
Phone (501) 237-1284

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

33 Corporate Dr
Orangeburg, NY 10962
Phone (732) 482-1664

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

815 Peach St
Tomball, TX 77375
Phone (281) 351-5443

Interoperability endpoints

  • Direct secure messaging: erica.young.1@29938.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1881386910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N FOURCHE AVE",
            "city": "PERRYVILLE",
            "state": "AR",
            "postal_code": "721268545",
            "telephone_number": "501-238-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9601 Baptist Health Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056321",
            "country_code": "US",
            "telephone_number": "501-202-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ERICA",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-25",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1214625",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "40884",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "224501",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "3-003069",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, AR

Sources for this page

Verify at the official NPI Registry.