KRISTIN YOUNGBERG
NPI 1275184095
Student in an Organized Health Care Education/Training Program in San Luis Obispo, CA

Q: What is Kristin Youngberg's NPI number?

The NPI number for Kristin Youngberg is 1275184095. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Kristin Youngberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Kristin Youngberg enrolled in Medicare?

No. Kristin Youngberg has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kristin Youngberg was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 23, 2019Opted out of Medicare · through Jan 1, 2028

277 SOUTH ST STE T, SAN LUIS OBISPO, CA 93401(805) 781-4259 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kristin Youngberg NPPES

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

KRISTIN YOUNGBERG (NPI 1275184095) is an individual student in an organized health care education/training program in San Luis Obispo, California and active in the NPI registry since September 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1275184095

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKRISTIN YOUNGBERG

Location Address277 SOUTH ST STE TSan Luis Obispo, CA 93401-5039

Mailing Address277 South St Ste TSan Luis Obispo, CA 93401-5039

Phone(805) 781-4259

Sole ProprietorNo

Enumeration DateSeptember 23, 2019

✔ NPI 1275184095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

277 SOUTH ST STE T, San Luis Obispo, CA 93401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kristin Youngberg has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

JUSTINE LOWRY APCC, MS, BS

Counselor (Mental Health)