Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Thomas Young, NP

Individual provider Family Nurse Practitioner · NPI 1154732360

Kelly Thomas Young, NP is a Nurse Practitioner in Burnsville, Minnesota. Qualified in 2014, 12 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

14000 Fairview Dr
Burnsville, MN 55337-4571
Phone: (952) 993-8700
Fax: (952) 993-8516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Beam Ave, Maplewood, MN 55109-1127 — (651) 255-8480

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2326 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R 168856-0 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP2326 (MN)

Record details

NPI number1154732360
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 12, 2014
Last updated in NPPESAugust 27, 2021
Certification dateAugust 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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