ANGELA YOUNG NP
NPI 1114276110
Nurse Practitioner - Adult Health in Detroit, MI

Q: What is Angela Young's NPI number?

The NPI number for Angela Young is 1114276110. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Q: What is Angela Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Angela Young was last updated on May 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2012PECOS Enrolled

4646 JOHN R ST, DETROIT, MI 48201(404) 376-3547 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2024, Jun 30, 2020 (2 updates tracked since 2020).

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About Angela Young Np NPPES

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

ANGELA YOUNG NP (NPI 1114276110) is an individual adult health provider in Detroit, Michigan, licensed in Michigan (4704259636) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114276110

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameANGELA YOUNGCredential: NP

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000

Phone(404) 376-3547

Sole ProprietorNo

Enumeration DateSeptember 5, 2012

Last NPPES UpdateMay 10, 20242 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1114276110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MI · 4704259636

Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704259636 (MI)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 4704259636 (MI)

4646 JOHN R ST, Detroit, MI 48201

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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)

Angela Young Np 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 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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