Kelly M Young, RN, CNP - Medicare Nurse Practitioner in Farmington, NM

Kelly M Young, RN, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Farmington, New Mexico. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice San Juan Health And Wellness Center Llc and her current practice location is 1009 Ridgeway Pl, Farmington, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 327-0002.

Kelly M Young is licensed to practice in New Mexico (license number CNP-02180) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245679000.

Contact Information

Kelly M Young, RN, CNP
1009 Ridgeway Pl,
Farmington, NM 87401-2092
(505) 327-0002
(505) 325-9443

Map and Direction




Provider's Profile

Full NameKelly M Young
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1009 Ridgeway Pl, Farmington, New Mexico
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly M Young graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1245679000
  • Provider Enumeration Date: 06/14/2013
  • Last Update Date: 06/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123253234
  • Enrollment ID: I20131025001608

Medical Identifiers

Medical identifiers for Kelly M Young such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245679000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN-77457 (New Mexico)Secondary
363L00000XNurse Practitioner CNP-02180 (New Mexico)Secondary
363LF0000XNurse Practitioner - Family CNP-02180 (New Mexico)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP-02180 (New Mexico)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Juan Health And Wellness Center Llc42849053085

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly M Young allows following entities to bill medicare on her behalf.
Entity NameSan Juan Health And Wellness Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568998029
PECOS PAC ID: 4284905308
Enrollment ID: O20170809000144
Entity NameIdeal Option Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457788275
PECOS PAC ID: 6709013105
Enrollment ID: O20200226002684
Entity NameIdeal Telemedicine Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346754868
PECOS PAC ID: 2860726221
Enrollment ID: O20200406000172

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly M Young is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly M Young, RN, CNP
1009 Ridgeway Pl,
Farmington, NM 87401-2092

Ph: () -
Kelly M Young, RN, CNP
1009 Ridgeway Pl,
Farmington, NM 87401-2092

Ph: (505) 327-0002

Reviews and Comments


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Phone: 505-609-6700    Fax: 505-609-6700
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Ms. Mois A Johnson, NP
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Practice Location: 203 W Main St, Farmington, NM 87401
Phone: 505-517-4181    Fax: 505-333-0444

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.