MRS. GRENISHA L YOUNG (APRN, FNP-C) – Family Nurse Practitioner, NPI 1023503554

MRS. GRENISHA L YOUNG (APRN, FNP-C) is a healthcare provider. based in Vicksburg, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 902641 (MS). The NPI Number for MRS. GRENISHA L YOUNG (APRN, FNP-C) is 1023503554

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. GRENISHA L YOUNG (APRN, FNP-C)
NPI
1023503554
Phone
(601) 456-2598
Address
1911 Mission 66 Ste B
Enumeration Date
27 June 2018
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7695727088
Graduation Year
2014 (12 years ago)
PAC ID
9931447877
Professional Enrollment ID
I20190219001043
Address ID
MS392089016PE110XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for MRS. GRENISHA L YOUNG (APRN, FNP-C)

  • 1911 Mission 66 Ste B

    Vicksburg, MS 391803762

    Phone: (601) 456-2598

    Fax: (855) 830-3484

    Type: Location

  • Municipal Drive, Brandon, Rankin County, Mississippi, 39042:39047, United States

    BRANDON, MS 390422973

    Phone: (687) 241-1600

    Fax: (833) 222-4520

    Type: Mailing

  • 322 GREENSBORO DR

    BRANDON, MS 390474700

    Phone: (601) 334-0113

    Type: Mailing

  • 2941 TERRY RD STE 6

    JACKSON, MS 392123071

    Phone: (601) 363-0566

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2023-12-05 • Largest payer in this snapshot: ABBVIE INC. ($82).

Total Amount

$123

General + Research + Ownership

Payments

3

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$82
Novo Nordisk Inc$41
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: 2019-02-19

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
I20190219001043INurse PractitionerMSTBD

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 39180)

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Reviews

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Frequently asked questions

Does MRS. GRENISHA L YOUNG (APRN, FNP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. GRENISHA L YOUNG (APRN, FNP-C) uses 1023503554.
Is MRS. GRENISHA L YOUNG (APRN, FNP-C) listed as active for patients and plans?
The listing shows MRS. GRENISHA L YOUNG (APRN, FNP-C) as active in the NPI system.
What is MRS. GRENISHA L YOUNG (APRN, FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for MRS. GRENISHA L YOUNG (APRN, FNP-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. GRENISHA L YOUNG (APRN, FNP-C)?
MRS. GRENISHA L YOUNG (APRN, FNP-C)'s geographic hint is Vicksburg, Mississippi in our summary view.
Is the information about MRS. GRENISHA L YOUNG (APRN, FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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