MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) – Adult Medicine Physician, NPI 1124564778

MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) is a healthcare provider. based in Glen burnie, Maryland. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP-BC. They hold a License No. R165948 (MD). The NPI Number for MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) is 1124564778

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. PAMELA YOUNG (MSN, APRN, FNP-BC)
NPI
1124564778
Phone
(410) 760-3588
Address
6934 AVIATION BLVD STE F
Enumeration Date
6 January 2017
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107603588
Graduation Year
2013 (13 years ago)
PAC ID
5294221727
Group Practice PAC ID
2769469006
Professional Enrollment ID
I20260105001156
Address ID
MD210612593GL6934XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:9State licenses:3Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for MRS. PAMELA YOUNG (MSN, APRN, FNP-BC)

  • 6934 AVIATION BLVD STE F

    GLEN BURNIE, MD 210612593

    Phone: (410) 760-3588

    Fax: (410) 760-3604

    Type: Mailing

  • 5321, West Boniwood Turn, Boniwood, Clinton, Prince George's County, Maryland, 20735, United States

    CLINTON, MD 207354160

    Phone: (301) 877-1111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20260105001156INurse PractitionerMDTBD
I20260216001676INurse PractitionerDCTBD
I20260227001867INurse PractitionerVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21061)

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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: 2769469006View full group profile
NameSpecialtyState
Nurse PractitionerMD
N E P H R O L O G YMD
Internal Medicine, NephrologyMD
-MD
-MD
N E P H R O L O G YMD
Nephrology, Internal MedicineDC
Nephrology, Internal MedicineMD
Internal Medicine, NephrologyMD
Nephrology, Internal MedicineMD

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. PAMELA YOUNG (MSN, APRN, FNP-BC)'s NPI?
Yes. MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) is listed with NPI 1124564778 in the public NPI dataset.
Can I rely on MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) being an active provider?
As of the registry snapshot, MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) is marked active.
What taxonomy line describes MRS. PAMELA YOUNG (MSN, APRN, FNP-BC)?
For research purposes, treat MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) as Adult Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) on a map?
Expect Glen Burnie, Maryland as a primary anchor for MRS. PAMELA YOUNG (MSN, APRN, FNP-BC) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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