SALLY ELIZABETH YOUNG (CNP) – Family Nurse Practitioner, NPI 1710573043

SALLY ELIZABETH YOUNG (CNP) is a healthcare provider. based in Toledo, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 0028141 (OH). The NPI Number for SALLY ELIZABETH YOUNG (CNP) is 1710573043

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SALLY ELIZABETH YOUNG (CNP)
NPI
1710573043
Phone
(419) 272-6020
Address
3626 S Detroit Ave
Enumeration Date
21 December 2020
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5678030426
Graduation Year
2020 (6 years ago)
PAC ID
6800203092
Group Practice PAC ID
6406232230
Professional Enrollment ID
I20210406002191
Address ID
OH436233529TO4405XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for SALLY ELIZABETH YOUNG (CNP)

  • 3626 S Detroit Ave

    Toledo, OH 436144412

    Phone: (419) 272-6020

    Type: Location

  • 7224 Dutch Rd

    Waterville, OH 435669831

    Phone: (567) 803-0421

    Type: Location

  • 505 N Reynolds Rd

    Toledo, OH 436150705

    Phone: (567) 803-0421

    Type: Location

  • 4405 N Holland Sylvania Rd

    Toledo, OH 436233529

    Phone: (567) 803-0426

    Type: Location

  • 505 Trenton Ave

    Findlay, OH 458403749

    Phone: (419) 463-9050

    Type: Location

  • 2627 Tremainsville Rd

    Toledo, OH 436132509

    Phone: (567) 803-0425

    Type: Location

  • 1214 W Wooster St

    Bowling Green, OH 434023600

    Phone: (419) 485-7070

    Type: Location

  • 928 Dixie Hwy

    Rossford, OH 434601333

    Phone: (567) 666-0622

    Type: Location

  • 4478 W US ROUTE SS4

    FINDLAY, OH 45840

    Phone: (812) 240-9882

    Type: Mailing

  • 4478 W US ROUTE 224

    FINDLAY, OH 458409367

    Phone: (812) 240-9882

    Type: Location

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: 2021-04-06

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
I20210406002191INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2119$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 6406232230View full group profile
NameSpecialtyState
Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Physician AssistantKY

Reviews

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Frequently asked questions

How do I look up SALLY ELIZABETH YOUNG (CNP) by NPI?
Use NPI 1710573043 when you need to reference SALLY ELIZABETH YOUNG (CNP) in forms, claims, or directories.
Is SALLY ELIZABETH YOUNG (CNP)'s NPI currently valid?
The extract we use shows SALLY ELIZABETH YOUNG (CNP) as active.
Does SALLY ELIZABETH YOUNG (CNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for SALLY ELIZABETH YOUNG (CNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for SALLY ELIZABETH YOUNG (CNP)?
The page summarizes Toledo, Ohio for SALLY ELIZABETH YOUNG (CNP); expand the address list for detail.
What if Toledo, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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