TOSHIBA YOUNG
NPI 1629870464
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL
About Toshiba Young NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TOSHIBA YOUNG (NPI 1629870464) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11038383) and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Toshiba Young 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.
Medicare Billing Reassignment
Medicare enrollment records show Toshiba Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monsey, NY 10952
- Reassigned Medicare billing, Pennsylvania enrollment
- 160 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 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32216
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 Toshiba Young's NPI number?
The NPI number for Toshiba Young is 1629870464. It was assigned to this individual provider in the NPPES registry on March 25, 2025.
Where is Toshiba Young located?
Toshiba Young practices at 4201 Belfort Rd, Jacksonville, FL 32216. The listed phone number is (904) 318-3878.
What is Toshiba Young's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Toshiba Young enrolled in Medicare?
Yes. Toshiba 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.
Which organization bills Medicare for Toshiba Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toshiba Young reassigns Medicare benefits to Supportive Care Of Pennsylvania LLC (Monsey, 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 Toshiba 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 Toshiba Young was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Toshiba Young · NPI 1629870464
Psychiatric/Mental Health physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since March 25, 2025.
## Identity
- **NPI:** 1629870464 (Entity type: Individual)
- **Enumerated:** March 25, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11038383 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4201 BELFORT RD, Jacksonville, FL 32216-1431
- **Phone:** (904) 318-3878
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Supportive Care Of Pennsylvania LLC (NPI 1174992275, Monsey, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629870464) · Data from the CMS NPPES public registry.