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MS. KELLY RAY YOUNG CRNP
NPI 1083996714
Nurse Practitioner - Family in Fayetteville, TN

Active since September 20, 2011PECOS EnrolledAccepts Medicare Assignment
2893 HUNTSVILLE HWY STE B, FAYETTEVILLE, TN 37334(931) 297-1050(931) 914-1257 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Kelly Ray Young Crnp NPPES

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

MS. KELLY RAY YOUNG CRNP (NPI 1083996714) is an individual family provider in Fayetteville, Tennessee, licensed in Alabama (1-117362) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1083996714
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KELLY RAY YOUNGCredential: CRNP
Location Address2893 HUNTSVILLE HWY STE BFayetteville, TN 37334-6681
Mailing Address2893 Huntsville Hwy Ste BFayetteville, TN 37334-6681 · (931) 297-1050 · Fax (931) 914-1257
Phone(931) 297-1050
Fax(931) 914-1257
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 20, 2011
Last NPPES UpdateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1083996714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-117362
2893 HUNTSVILLE HWY STE B, Fayetteville, TN 37334
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kelly Ray Young Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335318419
PECOS Enrollment IDI20260521000365
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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promed Preferred Tn 2 PLLC
Same address
Family Medicine
2893 HUNTSVILLE HWY STE B
Fayetteville, TN 37334
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1184576548 (931) 297-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37334 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 3

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

PROMED PREFERRED TN 2 PLLC
Family Medicine
2893 HUNTSVILLE HWY STE B
FAYETTEVILLE, TN 37334
Lincoln County (931) 297-1050
JOSLYN CALDWELL PA-C
Physician Assistant
2893 HUNTSVILLE HWY STE B
FAYETTEVILLE, TN 37334
Lincoln County (931) 297-1050
SOUTHERN FAMILY MEDICINE LLC
Family Medicine
2893 HUNTSVILLE HWY STE B
FAYETTEVILLE, TN 37334
Lincoln County (931) 297-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Young's NPI number?

The NPI number for Kelly Young is 1083996714. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Kelly Young located?

Kelly Young practices at 2893 Huntsville Hwy Ste B, Fayetteville, TN 37334. The listed phone number is (931) 297-1050.

What is Kelly Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Young enrolled in Medicare?

Yes. Kelly Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kelly Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Young reassigns Medicare benefits to Promed Preferred Tn 2 PLLC (Fayetteville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Young accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Kelly Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Young was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.