DR. NICOLLET SUE YOUNG OTD
NPI 1164398251
Occupational Therapist in Otsego, MN
About Dr. Nicollet Sue Young Otd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLLET SUE YOUNG OTD (NPI 1164398251) is an individual occupational therapist in Otsego, Minnesota and active in the NPI registry since October 2025. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicollet Sue Young Otd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicollet Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Andover, MN 55304
- Reassigned Medicare billing, Minnesota enrollment
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Nicollet Young's NPI number?
The NPI number for Nicollet Young is 1164398251. It was assigned to this individual provider in the NPPES registry on October 15, 2025.
Where is Nicollet Young located?
Nicollet Young practices at 15590 90th St NE, Otsego, MN 55330. The listed phone number is (763) 755-4275.
What is Nicollet Young's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Nicollet Young enrolled in Medicare?
Yes. Nicollet Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicollet Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicollet Young reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, MN). 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 Nicollet Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicollet Young was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.