MS. PATREIS DESTANIE YOUNG PA
NPI 1770332918
Physician Assistant - Medical in Madison, WI

Active since May 17, 2024PECOS EnrolledAccepts Medicare Assignment
1 S PARK ST, MADISON, WI 53715(608) 287-2450 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Jul 5, 2024, May 17, 2024 (3 updates tracked since 2024).

About Ms. Patreis Destanie Young Pa NPPES

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

MS. PATREIS DESTANIE YOUNG PA (NPI 1770332918) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (8029) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2024).

NPPES Registry Identity

NPI1770332918
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. PATREIS DESTANIE YOUNGCredential: PA
Location Address1 S PARK STMadison, WI 53715-1375
Mailing Address1 S Park StMadison, WI 53715-1375 · (608) 287-2450
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2024
Enumeration DateMay 17, 2024
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1770332918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 8029
Also ListedPhysician AssistantTaxonomy 363A00000X
1 S PARK ST, Madison, WI 53715

Accepted Insurance

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

Ms. Patreis Destanie Young Pa 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 ID6406387315
PECOS Enrollment IDI20241002003656
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.

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.

Nurse Practitioner
1 S PARK ST
MADISON, WI 53715
Surgery
1 S PARK ST
MADISON, WI 53715
Urology
1 S PARK ST
MADISON, WI 53715
Internal Medicine (Rheumatology)
1 S PARK ST
MADISON, WI 53715
Audiologist
1 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1 S PARK ST
MADISON, WI 53715
Radiology (Diagnostic Radiology)
1 S PARK ST
MADISON, WI 53715
Nurse Practitioner
1 S PARK ST
MADISON, WI 53715

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 Patreis Young's NPI number?

The NPI number for Patreis Young is 1770332918. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Patreis Young located?

Patreis Young practices at 1 S Park St, Madison, WI 53715. The listed phone number is (608) 287-2450.

What is Patreis Young's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Patreis Young enrolled in Medicare?

Yes. Patreis 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.

What insurance does Patreis Young accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Patreis 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 Patreis Young was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.