Individual provider Active NPI

Taylor Ashley Menard

  • Physician Assistant
  • Pullman, WA
National Provider Identifier
1174118558
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61603088 Issued in WA
Practice address
825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone
(093) 322-8285
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5486 WI
Physician Assistant 363A00000X PA61603088 WA Primary

Addresses

Primary practice location

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517

Mailing address

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517
Phone (093) 322-8285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, ID, WA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20210914000435 WI Practitioner - Physician Assistant 7315343563 Reassigns benefits to 1 organization
I20220907002235 TX Practitioner - Physician Assistant 7315343563 Reassigns benefits to 1 organization
I20241105001762 ID Practitioner - Physician Assistant 7315343563 Reassigns benefits to 1 organization
I20241106001947 WA Practitioner - Physician Assistant 7315343563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District 1-a of Whitman CountyGroup PAC ID 8325934987, 86 clinicians

Practice addresses (Care Compare)

2500 W a St
Suite 201
Moscow, ID 83843-6000
Phone (208) 332-2828

825 SE Bishop Blvd
Suite 120
Pullman, WA 99163-5517
Phone (509) 332-2828

Hospital & facility affiliations

  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61603088WAMDPhysician Assistant
5486WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Aug 24, 2022 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Nov 1, 2024 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Nov 1, 2024 Accepting new patients
Public Hospital District # 1-a Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

2500 W A St
Ste 201
Moscow, ID 83843
Phone (208) 332-2828

825 SE Bishop Blvd
Ste 120
Pullman, WA 99163
Phone (509) 332-2828

840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Organizations & group practices 5

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 1

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1174118558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 120",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "093-322-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 120",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "093-322-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "TAYLOR",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5486",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61603088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.