NPIMap

Individual provider Active NPI

Taylor E Clark, CRNP

  • Gerontology Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1235657545
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP026127 Issued in PA
Practice address
704 W Nields St
West Chester, PA 19382-4102
Phone
(610) 840-2623
NPI assigned
Sep 7, 2017
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP026127 PA Primary
Nurse Practitioner 363L00000X SP026127 PA

Addresses

Primary practice location

704 W Nields St
West Chester, PA 19382-4102

Mailing address

704 W Nields St
West Chester, PA 19382-4102
Phone (610) 840-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907003338 PA Practitioner - Nurse Practitioner 3678814381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.21 of 100Reported as group
Quality
49.71
Promoting interoperability
100
Improvement activities
40
Cost
74.23

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Pain Care CurrentSince Jun 22, 2026 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jun 23, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2023 Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince Jun 3, 2022 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jun 23, 2024 Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner CurrentSince Aug 1, 2023 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
Heal Doctors Ihwa, P.C. PastSince Dec 14, 2020 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

205 S Front St
Fl 6
Harrisburg, PA 17104
Phone (717) 231-8343

205 S Front St
Fl Bma
Harrisburg, PA 17104

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656

Organizations & group practices 10

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

Hospital & facility affiliations 8

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1235657545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102",
            "telephone_number": "610-840-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W NIELDS ST",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824102",
            "telephone_number": "610-840-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TAYLOR",
        "middle_name": "E",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026127",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP026127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.