Individual provider Active NPI

Taylor Haluck, APRN

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1235514977
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9285252 Issued in FL
Practice address
10244 S US Highway 1
Port St Lucie, FL 34952-5615
Phone
(772) 337-7676
Fax
(773) 337-9034
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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 ARNP9285252 FL Primary

Addresses

Primary practice location

10244 S US Highway 1
Port St Lucie, FL 34952-5615

Mailing address

10244 S US Highway 1
Port St Lucie, FL 34952-5615
Phone (772) 337-7676

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taylor.haluck@sep.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160210001675 FL Practitioner - Nurse Practitioner 8820392913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesia Associates LLC 47 clinicians

Practice addresses (Care Compare)

111 SE Osceola St
Suite 100
Stuart, FL 34994-2114
Phone (867) 724-6807

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
71.03
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Anesthesia Associates LLC CurrentSince Dec 16, 2023 Accepting new patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Dec 16, 2023 Accepting new patients

Locations

208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418
Phone (910) 691-1853

2300 SE Veterans Memorial Pkwy
Ste 330
Port St Lucie, FL 34952

10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483

2300 SE Veterans Memorial Pkwy
Port St Lucie, FL 34952

111 SE Osceola St
Stuart, FL 34994
Phone (772) 242-7720

2096 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 223-0174

111 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (866) 228-7676

111 SE Osceola St
#200
Stuart, FL 34994
Phone (772) 242-7720

3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Interoperability endpoints

  • Direct secure messaging: taylor.haluck.1@30104.direct.athenahealth.com

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 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": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1235514977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10244 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525615",
            "telephone_number": "772-337-7676",
            "fax_number": "773-337-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10244 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525615",
            "telephone_number": "772-337-7676",
            "fax_number": "773-337-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALUCK",
        "first_name": "TAYLOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9285252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor.haluck@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "10244 S US Highway 1",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349525615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.