Individual provider Active NPI

Taylor A Cook, APRN

  • Family Nurse Practitioner
  • Moweaqua, IL
National Provider Identifier
1063085645
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023503 Issued in IL
Practice address
620 N Putnam St
Moweaqua, IL 62550-9482
Phone
(217) 528-7541
Fax
(217) 768-3811
NPI assigned
Jul 21, 2021
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023503 IL Primary

Addresses

Primary practice location

620 N Putnam St
Moweaqua, IL 62550-9482

Mailing address

1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541

Other practice location 1

7 Hawthorne Ln Ste A
Sullivan, IL 61951-9490
Phone (217) 728-8441

Other names 1

  • Taylor Uphoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20211120000296 IL Practitioner - Nurse Practitioner 6305235987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

7 Hawthorne LN
Suite a
Sullivan, IL 61951-9490
Phone (217) 728-8441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
Quality
75.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Mar 18, 2025 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Mar 18, 2025 Accepting new patients

Locations

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

7 Hawthorne Ln
Ste A
Sullivan, IL 61951
Phone (217) 728-8441

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1063085645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N PUTNAM ST",
            "city": "MOWEAQUA",
            "state": "IL",
            "postal_code": "625509482",
            "telephone_number": "217-528-7541",
            "fax_number": "217-768-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Hawthorne Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "IL",
            "postal_code": "619519490",
            "country_code": "US",
            "telephone_number": "217-728-8441",
            "fax_number": "217-728-8676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "TAYLOR",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "UPHOFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moweaqua, IL

Sources for this page

Verify at the official NPI Registry.