Individual provider Active NPI

Taylor Nesbit, PA-C

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1457969867
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113295 Issued in FL
Practice address
1560 Broadway Ste 1600
Denver, CO 80202-5160
Phone
(727) 617-0070
NPI assigned
Jul 22, 2020
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0009119 CO
Physician Assistant 363A00000X PA9113295 FL
Medical Physician Assistant 363AM0700X PA9113295 FL Primary

Addresses

Primary practice location

1560 Broadway Ste 1600
Denver, CO 80202-5160

Mailing address

1560 Broadway Ste 1600
Denver, CO 80202-5160
Phone (727) 617-0070

Other practice location 1

615 Channelside Dr Ste 207
Tampa, FL 33602-5427
Phone (727) 617-0070

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
I20200826002537 FL Practitioner - Physician Assistant 2668899386 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0009119COMDPhysician Assistant
PA9113295FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic, LLC CurrentSince Oct 18, 2021 Accepting new patients
Florida Medical Clinic LLC CurrentSince Oct 18, 2021 Accepting new patients
Neuspine Institute LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

2590 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 219-3269

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1457969867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BROADWAY STE 1600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025160",
            "telephone_number": "727-617-0070",
            "fax_number": "813-212-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BROADWAY STE 1600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025160",
            "telephone_number": "727-617-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Channelside Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025427",
            "country_code": "US",
            "telephone_number": "727-617-0070",
            "fax_number": "813-212-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0009119",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113295",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.