Individual provider Active NPI

Taylor Cummins

  • Physician Assistant
  • Warsaw, IN
National Provider Identifier
1184401978
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2101 Dubois Dr
Warsaw, IN 46580-3210
Phone
(574) 267-3200
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 10004277A IN
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2101 Dubois Dr
Warsaw, IN 46580-3210

Mailing address

6675 Corporate Center Pkwy Ste 115
Jacksonville, FL 32216-8088

Other identifiers 1

IdentifierTypeStateIssuer
0099231MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240212002778 IN Practitioner - Physician Assistant 4587007034 Reassigns benefits to 3 organizations

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
Orthopaedics Northeast PCGroup PAC ID 9234024878, 80 clinicians

Practice addresses (Care Compare)

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone (260) 484-8551

8202 Glencarin Blvd
Suite 300
Fort Wayne, IN 46804-5783
Phone (260) 484-8551

885 W Connexion Way
Suite 200
Columbia City, IN 46725-1045
Phone (260) 248-9280

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10004277AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Northeast PC CurrentSince May 1, 2025 Accepting new patients
Orthopaedics Northeast PC CurrentSince May 1, 2025 Accepting new patients

Locations

8202 Glencarin Blvd
Ste 300
Fort Wayne, IN 46804
Phone (260) 484-1855

11136 Parkview Circle Dr
Fort Wayne, IN 46845

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

5050 N Clinton St
Fort Wayne, IN 46825
Phone (219) 484-8551

5052 N Clinton St
Fort Wayne, IN 46825
Phone (260) 408-2203

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

315 E 200 N
Warsaw, IN 46582
Phone (574) 269-8301

1500 Provident Dr
Ste B
Warsaw, IN 46580
Phone (574) 269-8301

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.

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1184401978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 CORPORATE CENTER PKWY STE 115",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 DUBOIS DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803210",
            "telephone_number": "574-267-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004277A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.