NPIMap

Individual provider Active NPI

Mary Ellen Taylor, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1346724598
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902940 Issued in MS
Practice address
1818 College Drive
Meridian, MS 39304
Phone
(601) 581-7603
NPI assigned
Sep 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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 902940 MS Primary

Addresses

Primary practice location

1818 College Drive
Meridian, MS 39304

Mailing address

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 703-4200

Other practice location 1

11759 Highway 489
Conehatta, MS 39057-5002
Phone (601) 479-8877

Other practice location 2

1314 19th Ave
Meridian, MS 39301-4116
Phone (601) 703-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CCP Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20181121000133 MS Practitioner - Nurse Practitioner 6002160421 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laird Hospital, Inc.Group PAC ID 7214991769, 30 clinicians

Practice addresses (Care Compare)

252 Northside Dr
Newton, MS 39345-9756
Phone (601) 683-3117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
86.99
Improvement activities
40
Cost
66.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laird Hospital, Inc. Current Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Jul 1, 2021 Accepting new patients
Wound Management Specialists, LLC CurrentSince Feb 1, 2020 Accepting new patients
Scott Regional Medical Center, Inc Family Current Accepting new patients
Laird Hospital, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Laird Hospital, Inc. Family CurrentSince Jul 1, 2021 Accepting new patients
Winston Medical Clinic LLC PastSince Feb 1, 2020 Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

1080 Highway 35 S
Forest, MS 39074
Phone (601) 469-3555

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

1800 12th St
Meridian, MS 39301
Phone (601) 483-0011

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

252 Northside Dr
Newton, MS 39345
Phone (601) 683-3117

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 8

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 6

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": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1346724598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-703-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 COLLEGE DRIVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39304",
            "telephone_number": "601-581-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11759 Highway 489",
            "address_purpose": "LOCATION",
            "city": "Conehatta",
            "state": "MS",
            "postal_code": "390575002",
            "country_code": "US",
            "telephone_number": "601-479-8877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014116",
            "country_code": "US",
            "telephone_number": "601-703-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CCP",
            "affiliation": "N",
            "endpointDescription": "Patient Information System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1818 College Drive",
            "city": "MERIDIAN",
            "state": "MS",
            "country_code": "US",
            "postal_code": "39304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.