JORDAN TAYLOR YOUNG PMHNP
NPI 1003677899
Nurse Practitioner - Psychiatric/Mental Health in Liverpool, NY

Q: What is Jordan Young's NPI number?

The NPI number for Jordan Young is 1003677899. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Q: What is Jordan Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Young was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 18, 2024PECOS Enrolled

4811 BUCKLEY RD, LIVERPOOL, NY 13088(315) 457-9966 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jordan Taylor Young Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN TAYLOR YOUNG PMHNP (NPI 1003677899) is an individual psychiatric/mental health provider in Liverpool, New York, licensed in New York (F405880) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003677899

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJORDAN TAYLOR YOUNGCredential: PMHNP

Location Address4811 BUCKLEY RDLiverpool, NY 13088-3676

Mailing AddressPo Box 353Homer, NY 13077-0353 · (607) 345-0824

Phone(315) 457-9966

Sole ProprietorNo

Enumeration DateJanuary 18, 2024

Last NPPES UpdateOctober 17, 2024

NPPES CertifiedOctober 17, 2024

✔ NPI 1003677899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F405880

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 798974 (NY)

4811 BUCKLEY RD, Liverpool, NY 13088

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Taylor Young Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGHAN DAMBACH

Pediatrics