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SHELBY MADALYN YOUNG DNP, FNP-C
NPI 1215654785
Nurse Practitioner - Family in Louisville, KY

Active since October 25, 2022PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
3920 DUTCHMANS LN STE 309, LOUISVILLE, KY 40207(502) 588-4740(502) 588-9537 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2023, Feb 14, 2023, Dec 12, 2022 and 2 more (5 updates tracked since 2022).

About Shelby Madalyn Young Dnp, Fnp-c NPPES

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

SHELBY MADALYN YOUNG DNP, FNP-C (NPI 1215654785) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3018495) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215654785
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHELBY MADALYN YOUNGCredential: DNP, FNP-C
Location Address3920 DUTCHMANS LN STE 309Louisville, KY 40207-4702
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328
Phone(502) 588-4740
Fax(502) 588-9537
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 25, 2022
Last NPPES UpdateMarch 1, 20235 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1215654785 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 KY · 3018495
3920 DUTCHMANS LN STE 309, Louisville, KY 40207
Open in Google Maps ↗

Other Identifiers 2

Medicaid300071455IN
Medicaid7100863720KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Madalyn Young Dnp, Fnp-c 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 ID6305213943
PECOS Enrollment IDI20221110001473
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.

Areas of Expertise CMS Part B claims 9

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
244 services154 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
207 services144 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
198 services123 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services27 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
32 services25 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 2

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

RUBY MAELEE AEBERSOLD APRN
Nurse Practitioner (Family)
3920 DUTCHMANS LN STE 309
LOUISVILLE, KY 40207
Jefferson County (502) 588-4740
ZACHARY SNOW DO
Urology
3920 DUTCHMANS LN STE 309
LOUISVILLE, KY 40207
Jefferson County (502) 588-4740

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 Shelby Young's NPI number?

The NPI number for Shelby Young is 1215654785. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Shelby Young located?

Shelby Young practices at 3920 Dutchmans Ln Ste 309, Louisville, KY 40207. The listed phone number is (502) 588-4740.

What is Shelby Young's specialty?

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

Is Shelby Young enrolled in Medicare?

Yes. Shelby 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.

What insurance does Shelby Young accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Shelby 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.

Is Shelby Young affiliated with any hospitals?

According to CMS data, Shelby Young is affiliated with Clark Memorial Hospital, Baptist Health Hardin, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc and University Of Louisville Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Young was last updated on March 1, 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.