Individual provider Active NPI

Taylor C Mueller

  • Physician Assistant
  • Bear, DE
National Provider Identifier
1114708252
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011967 Issued in DE
Practice address
1993 Pulaski Hwy
Bear, DE 19701-1708
Phone
(302) 838-3100
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 C5-0011967 DE Primary

Addresses

Primary practice location

1993 Pulaski Hwy
Bear, DE 19701-1708

Mailing address

1993 Pulaski Hwy
Bear, DE 19701-1708
Phone (302) 463-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231122001468 DE Practitioner - Physician Assistant 2264880707 Reassigns benefits to 2 organizations
I20251001003107 PA Practitioner - Physician Assistant 2264880707 Reassigns benefits to 2 organizations

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
Reliance Healthcare, LLCGroup PAC ID 0042583460, 7 clinicians
Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians

Practice addresses (Care Compare)

1993 Pulaski Hwy
Bear, DE 19701-1708
Phone (302) 838-3100

701 N Clayton St
Wilmington, DE 19805-3165
Phone (610) 237-4814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C5-0011967DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Urgent Care LLC CurrentSince Oct 15, 2023 Accepting new patients

Locations

1993 Pulaski Hwy
Bear, DE 19701
Phone (302) 261-6676

Interoperability endpoints

  • Direct secure messaging: tmueller4606224@direct.trinity-health.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1114708252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011708",
            "telephone_number": "302-463-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011708",
            "telephone_number": "302-838-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "TAYLOR",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.