MRS. KEISHA MARIE YOUNG FNP-C
NPI 1356833941
Nurse Practitioner in O Fallon, IL

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
604 PIERCE BLVD STE 150, O FALLON, IL 62269(618) 222-9244 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2023, Nov 10, 2021, Oct 28, 2020 (3 updates tracked since 2020).

About Mrs. Keisha Marie Young Fnp-c NPPES

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

MRS. KEISHA MARIE YOUNG FNP-C (NPI 1356833941) is an individual nurse practitioner in O Fallon, Illinois, licensed in Illinois (209017366) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356833941
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KEISHA MARIE YOUNGCredential: FNP-C
Location Address604 PIERCE BLVD STE 150O Fallon, IL 62269-2588
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1356833941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209017366
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2018005309 (MO)
604 PIERCE BLVD STE 150, O Fallon, IL 62269

Other Names 1

Former Name (1)Keisha Marie Johnson

Secondary Practice Locations 3

Location 11296 Jeffco BlvdArnold, MO 63010-2138 · Phone (636) 321-8600
Location 21035 Bellevue Ave Ste 400Richmond Heights, MO 63117-1844 · Phone (314) 925-4700 ext. 4
Location 38670 Big Bend Blvd Ste AWebster Groves, MO 63119-3839 · Phone (314) 447-1900

Accepted 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

Mrs. Keisha Marie 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 ID4385993369
PECOS Enrollment IDI20180824000273, I20230629003659
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 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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 Keisha Young's NPI number?

The NPI number for Keisha Young is 1356833941. It was assigned to this individual provider in the NPPES registry on May 31, 2018. The provider is also known as Keisha Marie Johnson.

Where is Keisha Young located?

Keisha Young practices at 604 Pierce Blvd Ste 150, O Fallon, IL 62269. The listed phone number is (618) 222-9244.

What is Keisha Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Keisha Young enrolled in Medicare?

Yes. Keisha 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 Keisha Young accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Keisha 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.

When was this NPI record last updated?

The NPPES record for Keisha Young was last updated on July 10, 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.