Individual provider Active NPI

Taylor Magill, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1114625779
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7414-23 Issued in WI
Practice address
3120 S 27TH St
Milwaukee, WI 53215-4338
Phone
(414) 672-8282
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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 7414-23 WI Primary

Addresses

Primary practice location

3120 S 27TH St
Milwaukee, WI 53215-4338

Mailing address

3120 S 27TH St
Milwaukee, WI 53215-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230831002396 WI Practitioner - Physician Assistant 0547623068 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
Group practices
Midwest Nephrology Associates SCGroup PAC ID 8527045236, 30 clinicians

Practice addresses (Care Compare)

3120 S 27TH St
Milwaukee, WI 53215-4338
Phone (414) 762-2020

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 259-3000

9420 S 22ND St
Oak Creek, WI 53154-8242
Phone (414) 761-8080

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7414WIMDClinical Social Worker
7414-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Nephrology Associates, S.C. CurrentSince Sep 1, 2023 Accepting new patients

Locations

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

3120 S 27th St
Uppr
Milwaukee, WI 53215

3120 S 27th St
Milwaukee, WI 53215
Phone (414) 672-8282

335 E Mahn Ct
Oak Creek, WI 53154
Phone (414) 762-2020

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1114625779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154338",
            "telephone_number": "414-672-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7414-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.