YOUTHFUL ESSENCE MEDICAL CENTER, PLLC
NPI 1760662852
Nurse Practitioner - Family in West Liberty, KY

Active since November 06, 2007
1412 KY-7, WEST LIBERTY, KY 41472(606) 743-1600(606) 743-2220 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Youthful Essence Medical Center, Pllc NPPES

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

YOUTHFUL ESSENCE MEDICAL CENTER, PLLC (NPI 1760662852) is a healthcare organization registered as a family in West Liberty, Kentucky and active in the NPI registry since November 2007. The organization maintains a secondary practice location in West Liberty and lists Elizabeth Potter, President, as its authorized official.

NPPES Registry Identity

NPI1760662852
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameYOUTHFUL ESSENCE MEDICAL CENTER, PLLC
Location Address1412 KY-7West Liberty, KY 41472
Mailing Address842 Hutchinson RdWest Liberty, KY 41472-2032 · (606) 743-1600 · Fax (606) 743-2220
Fax(606) 743-2220
Organization SubpartNo
Authorized OfficialElizabeth PotterPresident · (606) 743-1600
Enumeration DateNovember 6, 2007
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 27, 2021
✔ NPI 1760662852 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 KY · 3285P
1412 KY-7, West Liberty, KY 41472

Secondary Practice Location 1

Location 11219 West Main StreetWest Liberty, KY 41472-1007 · Phone (606) 743-1600 · Fax (606) 743-1924

Other Identifiers 1

Medicaid78004843KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Youthful Essence Medical Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Youthful Essence Medical Center, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1154478162
1412 KY-7
West Liberty, KY 41472
(606) 743-1600
✔ PECOS✔ Accepts Medicare2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Youthful Essence Medical Center, PLLC's NPI number?

The NPI number for Youthful Essence Medical Center, PLLC is 1760662852. It was assigned to this organization in the NPPES registry on November 6, 2007.

Where is Youthful Essence Medical Center, PLLC located?

Youthful Essence Medical Center, PLLC is located at 1412 Ky-7, West Liberty, KY 41472. The listed phone number is (606) 743-1600.

What is Youthful Essence Medical Center, PLLC's specialty?

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

Is Youthful Essence Medical Center, PLLC enrolled in Medicare?

Yes. Youthful Essence Medical Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Youthful Essence Medical Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Youthful Essence Medical Center, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Youthful Essence Medical Center, PLLC was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.