Individual provider Active NPI

Jessica A Young, MD

  • Obstetrics & Gynecology Physician
  • Fairbanks, AK
National Provider Identifier
1992209415
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
194105 Issued in AK
Practice address
1626 30TH Ave
Fairbanks, AK 99701-7466
Phone
(907) 479-7701
Fax
(866) 573-6459
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Obstetrics & Gynecology Physician 207V00000X 194105 AK Primary

Addresses

Primary practice location

1626 30TH Ave
Fairbanks, AK 99701-7466

Mailing address

1626 30TH Ave
Fairbanks, AK 99701-7466
Phone (907) 479-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, WA, AK4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240930002894 TX Practitioner - Obstetrics/Gynecology 8729402250 Reassigns benefits to 1 organization
I20241008001751 WI Practitioner - Obstetrics/Gynecology 8729402250 Reassigns benefits to 1 organization
I20251216003473 WA Practitioner - Obstetrics/Gynecology 8729402250 Reassigns benefits to 1 organization
I20260209003417 AK Practitioner - Obstetrics/Gynecology 8729402250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bartlett Regional HospitalGroup PAC ID 0941790539, 7 clinicians
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

10301 Glacier Hwy
Juneau, AK 99801-8565
Phone (907) 789-2910

3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
194105AKMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc CurrentSince Oct 2, 2024 Accepting new patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Oct 18, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 16, 2024 Accepting new patients
Bartlett Regional Hospital CurrentSince Dec 8, 2025 Accepting new patients
Family Practice Physicians Inc Current Accepting new patients
Dean Health Systems, Inc. CurrentSince Oct 2, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 16, 2024 Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients

Locations

10301 Glacier Hwy
Juneau, AK 99801
Phone (907) 789-2910

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

File 50978
Los Angeles, CA 90074

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHGCBD
  • Direct secure messaging: jyoung521116@direct-ehr-ssmhc.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1992209415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017466",
            "telephone_number": "907-479-7701",
            "fax_number": "866-573-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 30TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017466",
            "telephone_number": "907-479-7701",
            "fax_number": "866-573-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "194105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.