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THOMAS P YOUNG III PHD, NP
NPI 1689797029
Nurse Practitioner - Adult Health in Santa Rosa, CA

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
830 2ND ST STE A, SANTA ROSA, CA 95404(415) 895-1441(415) 895-1288 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2020, Aug 16, 2018, Jul 13, 2018 and 2 more (5 updates tracked since 2016).

About Thomas P Young Iii Phd, Np NPPES

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

THOMAS P YOUNG III PHD, NP (NPI 1689797029) is an individual adult health provider in Santa Rosa, California, licensed in California (7662) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1689797029
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTHOMAS P YOUNG IIICredential: PHD, NP
Location Address830 2ND ST STE ASanta Rosa, CA 95404-4620
Mailing Address550 Richmond DrSanta Rosa, CA 95401-3618 · (415) 301-0902 · Fax (415) 895-1288
Phone(415) 895-1441
Fax(415) 895-1288
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateApril 9, 2007
Last NPPES UpdateJanuary 24, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1689797029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in CA · 7662✔ Licensed in CA · 349096
830 2ND ST STE A, Santa Rosa, CA 95404
Open in Google Maps ↗

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

Thomas P Young Iii Phd, Np 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 ID7416984745
PECOS Enrollment IDI20160706002721
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES

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

NORTHERN CALIFORNIA MEDICAL ASSOC INC
Internal Medicine
830 2ND ST STE A
SANTA ROSA, CA 95404
Sonoma County (707) 380-1838

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 Thomas Young's NPI number?

The NPI number for Thomas Young is 1689797029. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Thomas Young located?

Thomas Young practices at 830 2nd St Ste A, Santa Rosa, CA 95404. The listed phone number is (415) 895-1441.

What is Thomas Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thomas Young enrolled in Medicare?

Yes. Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Young was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.