LINDA SUE YOUNG NURSE PRACTITIONER
NPI 1437137130
Nurse Practitioner - Women's Health in Augusta, ME

NPI Status: Active since January 04, 2006

Contact Information

43 GABRIEL DR
AUGUSTA, ME
ZIP 04330
Phone: (207) 626-3426
Fax: (207) 621-8393

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
Quality Measures
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Women's Health
PECOS Enrolled
Medicare Quality Reporting

About LINDA YOUNG

This page provides the complete NPI Profile along with additional information for Linda Young, a provider established in Augusta, Maine with a medical specialization in Nurse Practitioner, focusing in women's health . The healthcare provider is registered in the NPI registry with number 1437137130 assigned on January 2006. The practitioner's primary taxonomy code is 363LW0102X with license number R026922 (ME). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI: 1437137130
Provider Name: LINDA SUE YOUNG NURSE PRACTITIONER
Gender: Female
Entity Type: Individual
Location Address: 43 GABRIEL DR AUGUSTA, ME 04330
Location Phone: (207) 626-3426
Location Fax: (207) 621-8393
Mailing Address: 1 ROCKWOOD RD AUGUSTA, ME 04330
Is Sole Proprietor?: No
Enumeration Date: 01-04-2006
Last Update Date: 11-17-2010
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A nurse practitioner (NP) like Linda Young is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Women's Health
Taxonomy Code: 363LW0102X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: R026922
License State: ME

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Aetna

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
105650102	MEDICAID (05)	ME
010317679	OTHER (01)	ME	TAX ID#
2507855	OTHER (01)	ME	AETNA

Medicare Participation & PECOS Enrollment Status

Linda Young is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04330 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $82.58
Minimum New Patient Price $53.26
Maximum New Patient Price $162.77

Average New Patient Copayment $20.64
Minimum New Patient Copayment $13.31
Maximum New Patient Copayment $40.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $94.6
Minimum Established Patient Price $16.9
Maximum Established Patient Price $132.79

Average Established Patient Copayment $23.65
Minimum Established Patient Copayment $4.22
Maximum Established Patient Copayment $33.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure	Performance	Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	40%	190
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	37%	208

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	3	7	1	3	7	1	3	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	6	7	2	3	14	1	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 2 + 3 + 1 + 4 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1437137130 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.