MRS. JESSICA RAE YOUNG FNP
NPI 1417469602
Nurse Practitioner - Family in Staten Island, NY

Q: What is Jessica Young's NPI number?

The NPI number for Jessica Young is 1417469602. It was assigned to this individual provider in the NPPES registry on October 29, 2017.

Q: What is Jessica Young's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Young was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since October 29, 2017PECOS Enrolled

2177 VICTORY BLVD, STATEN ISLAND, NY 10314(718) 370-3730(718) 966-7483 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2021, Sep 24, 2021, Nov 3, 2020 and 2 more (5 updates tracked since 2017).

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About Mrs. Jessica Rae Young Fnp NPPES

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

MRS. JESSICA RAE YOUNG FNP (NPI 1417469602) is an individual family provider in Staten Island, New York, licensed in New York (342225) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1417469602

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JESSICA RAE YOUNGCredential: FNP

Location Address2177 VICTORY BLVDStaten Island, NY 10314-6603

Mailing Address229 Preston AveStaten Island, NY 10312-5510 · (646) 823-7175

Phone(718) 370-3730

Fax(718) 966-7483

Sole ProprietorNo

Enumeration DateOctober 29, 2017

Last NPPES UpdateAugust 28, 20245 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1417469602 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 NY · 342225

2177 VICTORY BLVD, Staten Island, NY 10314

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Secondary Practice Location 1

Location 14143 Richmond AveStaten Island, NY 10312-5637 · Phone (718) 966-5556 · Fax (718) 966-7483

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Rae Young Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10314 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims24 services$6.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

MS. CHERYL LUFRANO R.P.A.-C

Physician Assistant