SHARISSA YOUNGBLOOD (APRN) – Primary Care Nurse Practitioner, NPI 1689143422

SHARISSA YOUNGBLOOD (APRN) is a healthcare provider. based in Boynton beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11000257 (FL). The NPI Number for SHARISSA YOUNGBLOOD (APRN) is 1689143422

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
SHARISSA YOUNGBLOOD (APRN)
NPI
1689143422
Phone
(561) 789-7465
Address
11282 MILLPOND GREENS DR
Enumeration Date
23 November 2018
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5617953360
Graduation Year
2018 (8 years ago)
PAC ID
0648507418
Group Practice PAC ID
3678646528
Professional Enrollment ID
I20190816001495
Address ID
FL334149365WE10330AVEX307

Contacts

Secure Messaging
sharissayoungbloodAPRN@mhccaremail.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

24,243 NURSE PRACTITIONER in FL

Provider Addresses for SHARISSA YOUNGBLOOD (APRN)

  • 11282 MILLPOND GREENS DR

    BOYNTON BEACH, FL 334737800

    Phone: (561) 789-7465

    Type: Mailing

  • 4847 DAVID S MACK DR

    WEST PALM BEACH, FL 334178023

    Phone: (561) 868-2999

    Fax: (561) 293-2511

    Type: Location

  • 6080 BOYNTON BEACH BLVD STE 100

    BOYNTON BEACH, FL 334373586

    Phone: (877) 412-7272

    Type: Location

  • 6586 HYPOLUXO RD STE 334

    LAKE WORTH, FL 334677678

    Phone: (877) 412-7272

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190816001495INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3,024366$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes299280$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15156$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 33473)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678646528View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Interventional Pain Management, Anesthesiology, Pain ManagementFL

Reviews

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Frequently asked questions

What is SHARISSA YOUNGBLOOD (APRN)'s NPI number?
SHARISSA YOUNGBLOOD (APRN)'s NPI is 1689143422 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to SHARISSA YOUNGBLOOD (APRN)?
You should see SHARISSA YOUNGBLOOD (APRN) as active in CMS-hosted NPPES data.
What kind of doctor is SHARISSA YOUNGBLOOD (APRN)?
SHARISSA YOUNGBLOOD (APRN) is associated with Primary Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with SHARISSA YOUNGBLOOD (APRN)?
Directory geography for SHARISSA YOUNGBLOOD (APRN) centers on Boynton Beach, Florida.
When was this NPI issued?
Enumeration for SHARISSA YOUNGBLOOD (APRN) is noted as November 23, 2018 where the registry provides it.

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