Individual provider Active NPI

Ruth Anne Young, ACNP

  • Acute Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1942595830
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP4091 Issued in AZ
Practice address
611 E McKellips Rd
Mesa, AZ 85203-2534
Phone
(480) 370-6845
Fax
(480) 428-8678
NPI assigned
Jun 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP4091 AZ Primary

Addresses

Primary practice location

611 E McKellips Rd
Mesa, AZ 85203-2534

Mailing address

2241 N Hunt Cir
Mesa, AZ 85203-2085
Phone (480) 370-6845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20121026000451 AZ Practitioner - Nurse Practitioner 6204005994 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Medical Care PLLC CurrentSince Feb 8, 2023 Accepting new patients
Neurosurgical Associates, LTD Past Accepting new patients

Locations

611 E McKellips Rd
Mesa, AZ 85203
Phone (480) 264-0723

Organizations & group practices 3

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": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1942595830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 N HUNT CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032085",
            "telephone_number": "480-370-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032534",
            "telephone_number": "480-370-6845",
            "fax_number": "480-428-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RUTH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-18",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.