COREY JUDE YOUNG (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1730838905

COREY JUDE YOUNG (AG-ACNP) is a healthcare provider. based in Flint, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. 1075861 (TX). The NPI Number for COREY JUDE YOUNG (AG-ACNP) is 1730838905

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
COREY JUDE YOUNG (AG-ACNP)
NPI
1730838905
Phone
(318) 542-0559
Address
11159 TWIN SPIRES DR
Enumeration Date
23 March 2022
Last Update Date
29 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033152000
Graduation Year
2021 (5 years ago)
PAC ID
1850778911
Group Practice PAC ID
5092167528
Professional Enrollment ID
I20220512000032
Address ID
TX756015580LO700XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for COREY JUDE YOUNG (AG-ACNP)

  • 11159 TWIN SPIRES DR

    FLINT, TX 757626335

    Phone: (318) 542-0559

    Type: Mailing

  • 800 E DAWSON ST

    TYLER, TX 757012036

    Phone: (903) 593-8441

    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: 2022-05-12

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
I20220512000032INurse PractitionerTXTBD

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 75762)

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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: 5092167528View full group profile
NameSpecialtyState
Critical Care (Intensivists), Internal MedicineOH
Nurse PractitionerTX
Internal MedicineMO
Critical Care (Intensivists), Internal MedicineTX
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerTX
Critical Care (Intensivists), Pulmonary DiseaseTX
Pulmonary Disease, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for COREY JUDE YOUNG (AG-ACNP)?
Save NPI 1730838905 if you need a stable reference for COREY JUDE YOUNG (AG-ACNP).
Is COREY JUDE YOUNG (AG-ACNP)'s NPI currently valid?
The extract we use shows COREY JUDE YOUNG (AG-ACNP) as active.
What kind of provider is COREY JUDE YOUNG (AG-ACNP)?
The page reflects Acute Care Nurse Practitioner for COREY JUDE YOUNG (AG-ACNP). Clinical services aligned with this taxonomy classification.
Does COREY JUDE YOUNG (AG-ACNP) practice in Texas?
You will see Flint, Texas on file for COREY JUDE YOUNG (AG-ACNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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