Active NPI
Amy Young, CRNP
- Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP026805
- Practice address
- 2601 Holme Ave
Philadelphia, PA 19152-2007 - Phone
- (215) 624-8138
- NPI assigned
- Oct 6, 2022
- Last updated
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP026805 | PA | Primary |
Addresses
Primary practice location
2601 Holme Ave
Philadelphia, PA 19152-2007
Mailing address
41 University Dr Ste 106
Newtown, PA 18940-1873
Phone (610) 772-6889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3998 Red Lion Rd
Suite 301
Philadelphia, PA 19114-1444
Phone (215) 612-4884
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP026805 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Aria Health Physician Services | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Aria Health Physician Services | Past | Accepting new patients | |
| Nazareth Physician Services, Inc | Past | Accepting new patients |
Locations
1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100
10800 Knights Rd
Philadelphia, PA 19114
Phone (215) 612-2610
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
2701 Holme Ave
Ste 100
Philadelphia, PA 19152
Phone (215) 335-3972
3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630
3998 Red Lion Rd
Ste 301
Philadelphia, PA 19114
Phone (215) 612-4884
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
Interoperability endpoints
- ayoung2014783@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Richboro Medical
- Family Medicine Physician
- Richboro, PA
- NPI 1750949806
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
dba Geoffrey W. Temple Family Medical Associates
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
-
dba Jefferson Hematology Medical Oncology Associates
- Hematology & Oncology Physician
- Philadelphia, PA
- NPI 1942471024
-
dba St Mary Health Richboro
- Internal Medicine Physician
- Richboro, PA
- NPI 1063830669
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
dba Aria Health Physician Services - Bucks Surgery
- Surgery Physician
- Langhorne, PA
- NPI 1114981123
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1215452982
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1801963343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1891410395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 UNIVERSITY DR STE 106",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189401873",
"telephone_number": "610-772-6889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 HOLME AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191522007",
"telephone_number": "215-624-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP026805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.