CONNER YOUNG – Psychiatric/Mental Health Nurse Practitioner, NPI 1225899057

CONNER YOUNG is a healthcare provider. based in Lawton, Oklahoma. specializing in NURSE PRACTITIONER. They hold a License No. 216163 (OK). The NPI Number for CONNER YOUNG is 1225899057

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
CONNER YOUNG
NPI
1225899057
Phone
(580) 536-0077
Address
1602 SW 82ND ST
Enumeration Date
18 January 2024
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5805102765
Graduation Year
2023 (3 years ago)
PAC ID
8123462652
Group Practice PAC ID
0941365308
Professional Enrollment ID
I20240222003727
Address ID
OK735059012LA1602XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for CONNER YOUNG

  • 1602 SW 82ND ST

    LAWTON, OK 735059012

    Phone: (580) 536-0077

    Mailing address matches the actual address.

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: 2024-02-22

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
I20240222003727INurse PractitionerOKTBD

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 73505)

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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: 0941365308View full group profile

Reviews

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Frequently asked questions

Can I cross-check CONNER YOUNG using NPI 1225899057?
NPI 1225899057 belongs to CONNER YOUNG; compare other details if you need extra assurance.
Is there an active status for CONNER YOUNG?
For scheduling context, CONNER YOUNG is shown as active in the registry.
How would a patient describe CONNER YOUNG's focus?
For CONNER YOUNG, the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CONNER YOUNG?
Travel planning: use Lawton, Oklahoma as the reference point for CONNER YOUNG, then confirm.
Does CONNER YOUNG accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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