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JACQUELINE JADE YOUNG FNP-C
NPI 1336090190
Nurse Practitioner - Family in Provo, UT

Active since February 06, 2026PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W BLDG C, PROVO, UT 84604(920) 903-4555 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Mar 20, 2026, Feb 6, 2026 (3 updates tracked since 2026).

About Jacqueline Jade Young Fnp-c NPPES

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

JACQUELINE JADE YOUNG FNP-C (NPI 1336090190) is an individual family provider in Provo, Utah, licensed in Utah (13344666-4405) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336090190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE JADE YOUNGCredential: FNP-C
Location Address1055 N 500 W BLDG CProvo, UT 84604-3305
Mailing Address1055 N 500 WProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Phone(920) 903-4555
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 6, 2026
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1336090190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in UT · 13344666-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 13344666-3102 (UT)
1055 N 500 W BLDG C, Provo, UT 84604
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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 and accepts Medicare assignment

Jacqueline Jade Young 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 ID7911477401
PECOS Enrollment IDI20260526002397
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 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Jacqueline Young's NPI number?

The NPI number for Jacqueline Young is 1336090190. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Jacqueline Young located?

Jacqueline Young practices at 1055 N 500 W Bldg C, Provo, UT 84604. The listed phone number is (920) 903-4555.

What is Jacqueline Young's specialty?

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

Is Jacqueline Young enrolled in Medicare?

Yes. Jacqueline 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Young was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.