KAREN LEE YOUNG MSN FNP-BC
NPI 1578996682
Nurse Practitioner - Family in Springfield, MO

Active since August 12, 2013PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807(417) 875-3000 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 27, 2018, Jan 6, 2017 (2 updates tracked since 2017).

About Karen Lee Young Msn Fnp-bc NPPES

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

KAREN LEE YOUNG MSN FNP-BC (NPI 1578996682) is an individual family provider in Springfield, Missouri, licensed in Missouri (079873) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1578996682
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAREN LEE YOUNGCredential: MSN FNP-BC
Location Address1001 E PRIMROSE STSpringfield, MO 65807-5155
Mailing AddressPo Box 9007Springfield, MO 65808-9007 · (417) 875-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 12, 2013
Last NPPES UpdateDecember 27, 20182 updates tracked since enumeration
NPI 1578996682 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 MO · 079873
1001 E PRIMROSE ST, Springfield, MO 65807

Other Identifiers 2

Medicaid1578996682MO
Medicaid420008068MO

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

Karen Lee Young Msn Fnp-bc 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 ID8224266762
PECOS Enrollment IDI20140108001420
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.

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
252 services166 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
151 services99 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
118 services81 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
68 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
54 services53 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$844.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$201.00 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 20

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

Physician Assistant
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Otolaryngology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Urology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Nurse Practitioner (Family)
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Urology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Internal Medicine
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Nurse Practitioner
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Surgery
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807

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 Karen Young's NPI number?

The NPI number for Karen Young is 1578996682. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Where is Karen Young located?

Karen Young practices at 1001 E Primrose St, Springfield, MO 65807. The listed phone number is (417) 875-3000.

What is Karen Young's specialty?

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

Is Karen Young enrolled in Medicare?

Yes. Karen 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 Karen Young accept?

Health plans from Cox HealthPlans list Karen 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.

Is Karen Young affiliated with any hospitals?

According to CMS data, Karen Young is affiliated with Cox Medical Centers and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Karen Young was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.