Individual provider Active NPI

Mariama Young, NP

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1932943461
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28235553A Issued in IN
Practice address
5435 W Pike Plaza Rd
Indianapolis, IN 46254-3010
Phone
(317) 754-4565
Fax
(317) 583-2986
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28235553A IN Primary

Addresses

Primary practice location

5435 W Pike Plaza Rd
Indianapolis, IN 46254-3010

Mailing address

5435 W Pike Plaza Rd
Indianapolis, IN 46254-3010
Phone (317) 754-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4102 Shore Dr
Indianapolis, IN 46254-2608

4810 B Spicewood Springs Rd
Austin, TX 78759-8740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28235553AINMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1932943461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 W PIKE PLAZA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543010",
            "telephone_number": "317-754-4565",
            "fax_number": "317-583-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 W PIKE PLAZA RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543010",
            "telephone_number": "317-754-4565",
            "fax_number": "317-583-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARIAMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28235553A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.