JESSY YOUNG NP
NPI 1194501908
Nurse Practitioner - Primary Care in Corte Madera, CA
About Jessy Young Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSY YOUNG NP (NPI 1194501908) is an individual primary care provider in Corte Madera, California, licensed in California (95025951) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
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 and accepts Medicare assignment
Jessy Young Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessy Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Napa, CA 94558
- Reassigned Medicare billing, California enrollment
- 1,699 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94925 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORTE MADERA, CA 94925
CORTE MADERA, CA 94925
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 Jessy Young's NPI number?
The NPI number for Jessy Young is 1194501908. It was assigned to this individual provider in the NPPES registry on September 6, 2023.
Where is Jessy Young located?
Jessy Young practices at 200 Tamal Plz Ste 200, Corte Madera, CA 94925. The listed phone number is (415) 925-6900.
What is Jessy Young's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jessy Young enrolled in Medicare?
Yes. Jessy 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 Jessy Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessy Young reassigns Medicare benefits to Providence Medical Foundation (Napa, CA). 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 Jessy 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 Jessy Young was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Jessy Young, NP · NPI 1194501908
Primary Care physician in Corte Madera, California. Individual provider, active in the CMS NPPES registry since September 6, 2023.
## Identity
- **NPI:** 1194501908 (Entity type: Individual)
- **Enumerated:** September 6, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95025951 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 TAMAL PLZ STE 200, Corte Madera, CA 94925-1196
- **Phone:** (415) 925-6900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Providence Medical Foundation (NPI 1205131950, Napa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** September 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194501908) · Data from the CMS NPPES public registry.