MRS. JESSICA RAE YOUNG FNP
NPI 1417469602
Nurse Practitioner - Family in Staten Island, NY
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jessica Rae Young Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Frank Scafuri Iii Do PC
- 17 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.
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.
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.
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.
STATEN ISLAND, NY 10314
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 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.
Where is Jessica Young located?
Jessica Young practices at 2177 Victory Blvd, Staten Island, NY 10314. The listed phone number is (718) 370-3730.
What is Jessica Young's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessica Young enrolled in Medicare?
Yes. Jessica Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Young reassigns Medicare benefits to Frank Scafuri III D.O.P,c (Staten Island, NY). 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 Jessica 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 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 2 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.
# Mrs. Jessica Rae Young, FNP · NPI 1417469602
Family physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since October 29, 2017.
## Identity
- **NPI:** 1417469602 (Entity type: Individual)
- **Enumerated:** October 29, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 342225 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2177 VICTORY BLVD, Staten Island, NY 10314-6603
- **Phone:** (718) 370-3730 · **Fax:** (718) 966-7483
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Frank Scafuri III D.O.P,c (NPI 1891029575, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417469602) · Data from the CMS NPPES public registry.