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DR. ANGELICA TASHAY YOUNG DNP-C
NPI 1619769734
Nurse Practitioner - Family in Moncks Corner, SC

Active since May 22, 2025PECOS Enrolled
254 GULLEDGE ST, MONCKS CORNER, SC 29461(843) 870-2794 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Angelica Tashay Young Dnp-c NPPES

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

DR. ANGELICA TASHAY YOUNG DNP-C (NPI 1619769734) is an individual family provider in Moncks Corner, South Carolina, licensed in South Carolina (F05250575) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619769734
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ANGELICA TASHAY YOUNGCredential: DNP-C
Location Address254 GULLEDGE STMoncks Corner, SC 29461-3558
Mailing Address254 Gulledge StMoncks Corner, SC 29461-3558
Phone(843) 870-2794
Sole ProprietorNo
Enumeration DateMay 22, 2025
NPPES CertifiedMay 22, 2025
✔ NPI 1619769734 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 SC · F05250575
254 GULLEDGE ST, Moncks Corner, SC 29461
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angelica Tashay Young Dnp-c 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Angelica Young reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Careconnectmd South Carolina P.C.
25 mi
Geriatric Medicine
1240 WINNOWING WAY UNIT 102
Mt Pleasant, SC 29466
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Careconnectmd South Carolina PC
  • 64 clinicians in this Medicare group
NPI 1306565973 (888) 789-9585
Physicians Services Group, P.C.
175 mi
Multi-Specialty
2 GRIFFITH RD
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Physicians Services Group PC
  • 80 clinicians in this Medicare group
NPI 1700357076 (864) 688-3988
Psgsc Mssp, P.C.
175 mi
Multi-Specialty
2 GRIFFITH RD
Greenville, SC 29607
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Psgsc Mssp PC
  • 73 clinicians in this Medicare group
NPI 1417839754 (864) 316-8984

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 29461 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 Angelica Young's NPI number?

The NPI number for Angelica Young is 1619769734. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Angelica Young located?

Angelica Young practices at 254 Gulledge St, Moncks Corner, SC 29461. The listed phone number is (843) 870-2794.

What is Angelica Young's specialty?

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

Is Angelica Young enrolled in Medicare?

Yes. Angelica Young is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Angelica Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Young reassigns Medicare benefits to 3 organizations: Careconnectmd South Carolina P.C. (Mt Pleasant, SC), Physicians Services Group, P.C. (Greenville, SC) and Psgsc Mssp, P.C. (Greenville, SC). Each 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 Angelica 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 Angelica Young was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.