NICOLE DANIELLE YOUNG CRNP
NPI 1811795503
Nurse Practitioner - Gerontology in Bristol, PA

Active since March 06, 2025PECOS EnrolledAccepts Medicare Assignment
905 TOWER RD STE 3188, BRISTOL, PA 19007(443) 483-9300 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Mar 6, 2025 (2 updates tracked since 2025).

About Nicole Danielle Young Crnp NPPES

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

NICOLE DANIELLE YOUNG CRNP (NPI 1811795503) is an individual gerontology provider in Bristol, Pennsylvania, licensed in Pennsylvania (SP032609) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Williamsport, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1811795503
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE DANIELLE YOUNGCredential: CRNP
Location Address905 TOWER RD STE 3188Bristol, PA 19007-3116
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 6, 2025
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1811795503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in PA · SP032609
905 TOWER RD STE 3188, Bristol, PA 19007

Secondary Practice Location 1

Location 1318 Adams StWilliamsport, PA 17701-2363 · Phone (570) 220-2057

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

Nicole Danielle Young Crnp 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 ID1052835295
PECOS Enrollment IDI20250409000151
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 19007 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 6

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

Nurse Practitioner (Family)
905 TOWER RD STE 3188
BRISTOL, PA 19007
Nurse Practitioner (Gerontology)
905 TOWER RD STE 3188
BRISTOL, PA 19007
Nurse Practitioner (Adult Health)
905 TOWER RD STE 3188
BRISTOL, PA 19007
Nurse Practitioner (Family)
905 TOWER RD STE 3188
BRISTOL, PA 19007
Nurse Practitioner (Family)
905 TOWER RD STE 3188
BRISTOL, PA 19007
Nurse Practitioner (Family)
905 TOWER RD STE 3188
BRISTOL, PA 19007

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 Nicole Young's NPI number?

The NPI number for Nicole Young is 1811795503. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Nicole Young located?

Nicole Young practices at 905 Tower Rd Ste 3188, Bristol, PA 19007. The listed phone number is (443) 483-9300.

What is Nicole Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Young enrolled in Medicare?

Yes. Nicole 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 Nicole Young was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.