Individual provider Active NPI

Kerri A Taylor, DO

  • Family Medicine Physician
  • Munnsville, NY
National Provider Identifier
1376544460
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
204801 Issued in NY
Practice address
5180 S Main St
Munnsville, NY 13409-4058
Phone
(315) 495-2690
Fax
(315) 495-3915
NPI assigned
Aug 10, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 204801 NY Primary

Addresses

Primary practice location

5180 S Main St
Munnsville, NY 13409-4058

Mailing address

PO Box 317
Hamilton, NY 13346-0317
Phone (315) 824-6652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000098 NY Practitioner - Family Practice 1850583113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial HospitalGroup PAC ID 6103805163, 43 clinicians

Practice addresses (Care Compare)

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600

220 Tower St
Waterville, NY 13480-1128
Phone (315) 841-4156

3460 S St
Morrisville, NY 13408-9671
Phone (315) 684-3117

5180 S Main St
Munnsville, NY 13409-4058
Phone (315) 495-2690

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Family Medicine CurrentSince Aug 1, 1998 Accepting new patients
Community Memorial Hospital Family Medicine CurrentSince Aug 1, 1998 Accepting new patients

Locations

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

3460 South St
Morrisville, NY 13408
Phone (315) 684-3117

5180 S Main St
Munnsville, NY 13409
Phone (315) 495-2690

117 W Main St
Waterville, NY 13480
Phone (315) 841-4178

Interoperability endpoints

  • Direct secure messaging: ktaylor@cmhhamilton.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Memorial HospitalHamilton, NY, CCN 331316 Hospital Corporate Director Jun 23, 2010
Community Memorial HospitalHamilton, NY, CCN 33Z316 Hospital Corporate Director Jun 23, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376544460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133460317",
            "telephone_number": "315-824-6652",
            "fax_number": "315-824-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 S MAIN ST",
            "city": "MUNNSVILLE",
            "state": "NY",
            "postal_code": "134094058",
            "telephone_number": "315-495-2690",
            "fax_number": "315-495-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KERRI",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "204801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munnsville, NY

Sources for this page

Verify at the official NPI Registry.