Individual provider Active NPI

Taylor Marie Meilleur, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1033843560
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10080 Issued in AZ
Practice address
10238 E Hampton Ave Ste 301C
Mesa, AZ 85209-3322
Phone
(480) 354-3200
NPI assigned
Jul 11, 2022
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10080 AZ Primary

Addresses

Primary practice location

10238 E Hampton Ave Ste 301C
Mesa, AZ 85209-3322

Mailing address

10238 E Hampton Ave Ste 301C
Mesa, AZ 85209-3322
Phone (480) 354-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412000468 AZ Practitioner - Physician Assistant 6002255981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10238 E Hampton Ave
Mesa, AZ 85209-3322

10510 N 92ND St
Scottsdale, AZ 85258-4566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Aug 5, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 5, 2025 Accepting new patients
Honorhealth Ambulatory Medical Past Accepting new patients

Locations

10238 E Hampton Ave
Ste 301C
Mesa, AZ 85209
Phone (480) 354-3200

33423 N 32nd Ave
Ste 101
Phoenix, AZ 85085

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1033843560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 301C",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093322",
            "telephone_number": "480-354-3200",
            "fax_number": "480-354-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 301C",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093322",
            "telephone_number": "480-354-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEILLEUR",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.