BRENDA YOUNG
NPI 1336441047
Nutritionist - Nutrition, Education in Bloomington, IL

Active since December 01, 2010Accepts Medicare Assignment
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704(309) 664-3000 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brenda Young NPPES

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

BRENDA YOUNG (NPI 1336441047) is an individual nutrition, education provider in Bloomington, Illinois, licensed in Illinois (164004334) and active in the NPI registry since December 2010. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1336441047
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameBRENDA YOUNG
Location Address1701 E COLLEGE AVEBloomington, IL 61704-2101
Mailing Address1701 E College AveBloomington, IL 61704-2101
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 1, 2010
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1336441047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
License✔ Licensed in IL · 164004334
1701 E COLLEGE AVE, Bloomington, IL 61704

Other Names 1

Former Name (1)Brenda Dillow

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

Brenda Young 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 ID244410868
PECOS Enrollment IDI20110214000536

Medicare Billing Reassignment

Medicare enrollment records show Brenda Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 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 2

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.

Therapy procedure reassessment for nutrition management, each 15 minutes 97803
This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.
34 services24 patients
Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
29 services14 patients

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.

Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Nurse Practitioner
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Hospice Care, Community Based
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Internal Medicine
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Physical Therapist
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Physical Medicine & Rehabilitation (Pain Medicine)
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704
Nurse Practitioner
1701 E COLLEGE AVE
BLOOMINGTON, IL 61704

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 Brenda Young's NPI number?

The NPI number for Brenda Young is 1336441047. It was assigned to this individual provider in the NPPES registry on December 1, 2010. The provider is also known as Brenda Dillow.

Where is Brenda Young located?

Brenda Young practices at 1701 E College Ave, Bloomington, IL 61704. The listed phone number is (309) 664-3000.

What is Brenda Young's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

Is Brenda Young enrolled in Medicare?

Yes. Brenda 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 Brenda Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Young reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). 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 Brenda 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 Brenda Young was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.