TIFFANY YOUNG LPN
NPI 1679945117
Licensed Practical Nurse in Green Bay, WI
About Tiffany Young Lpn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIFFANY YOUNG LPN (NPI 1679945117) is an individual licensed practical nurse in Green Bay, Wisconsin, licensed in Wisconsin (319521) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Tiffany Young Lpn 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 Tiffany Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 127 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54304
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 Tiffany Young's NPI number?
The NPI number for Tiffany Young is 1679945117. It was assigned to this individual provider in the NPPES registry on October 23, 2015.
Where is Tiffany Young located?
Tiffany Young practices at 2979 Allied St Ste C, Green Bay, WI 54304. The listed phone number is (920) 337-6740.
What is Tiffany Young's specialty?
The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.
Is Tiffany Young enrolled in Medicare?
Yes. Tiffany 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 Tiffany Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Young reassigns Medicare benefits to St. Croix Psychiatric, LLC (Woodbury, MN). 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 Tiffany Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tiffany Young accept?
Health plans from HealthPartners list Tiffany 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.
When was this NPI record last updated?
The NPPES record for Tiffany Young was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tiffany Young, LPN · NPI 1679945117
Licensed Practical Nurse provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since October 23, 2015.
## Identity
- **NPI:** 1679945117 (Entity type: Individual)
- **Enumerated:** October 23, 2015
- **Primary specialty:** Licensed Practical Nurse · taxonomy 164W00000X
- **State license:** 319521 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2979 ALLIED ST STE C, Green Bay, WI 54304-5567
- **Phone:** (920) 337-6740
## 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:** St. Croix Psychiatric, LLC (NPI 1881849586, Woodbury, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1679945117) · Data from the CMS NPPES public registry.