Provider Type Icon

MELISSA ANN YOUNG NP NPI 1104191402


NPI Information

NPI: 1104191402
Provider Name: MELISSA ANN YOUNG, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
705 RILEY HOSPITAL DR
STE 4230
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-7888
Get Directions

Melissa Ann Young, NP is a pediatrics nurse practitioner in Indianapolis, IN with 15 years of experience. Melissa Ann Young, NP NPI is 1104191402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

705 RILEY HOSPITAL DR
STE 4230
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-7888
Fax: (317) 944-7481

The NPI 1104191402 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/20/2012 and was last updated on 12/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse28157102AINDIANANo
2363LP0200XNurse PractitionerPediatrics71003910AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201065710MEDICAIDINDIANA
2000000765661OTHERINDIANAANTHEM PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.