NPIMap

Individual provider Active NPI

Ann Renee Taylor, DO

  • Family Medicine Physician
  • Coffeyville, KS
National Provider Identifier
1467430454
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-28153 Issued in KS
Practice address
1400 W 4TH St
Coffeyville, KS 67337-3306
Phone
(620) 688-6566
Fax
(620) 688-6577
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-04606 IA
Family Medicine Physician 207Q00000X 244 OK
Family Medicine Physician 207Q00000X A-1847-14 NM
Family Medicine Physician 207Q00000X 05-28153 KS Primary

Addresses

Primary practice location

1400 W 4TH St
Coffeyville, KS 67337-3306

Mailing address

PO Box 505262
Saint Louis, MO 63150-5262
Phone (866) 822-8104

Other names 1

  • Ann Renee Grant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040325000964 KS Practitioner - Family Practice 3375452402 Reassigns benefits to 1 organization
I20150115001731 NM Practitioner - Family Practice 3375452402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Taos Professional Services,LLCGroup PAC ID 6507019924, 30 clinicians

Practice addresses (Care Compare)

1397 Weimer Rd
Taos, NM 87571-6253
Phone (575) 751-8902

Hospital & facility affiliations

  • Labette Health Hospital, Parsons, KS, CCN 170120
  • Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

Merit-based Incentive Payment System (MIPS)

Final score
48.28 of 100Reported as group
Quality
21.69
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244OKMDMental Health Counselor
05-28153KSMDFamily Medicine Physician
5485OKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center Family Medicine Current Accepting new patients
Northwest Hospital Medicine Physicians LLC CurrentSince Nov 1, 2016 Accepting new patients
Labette County Medical Center CurrentSince May 23, 2024 Accepting new patients
Taos Professional Services,LLC CurrentSince Jan 1, 2026 Accepting new patients
Taos Professional Services, LLC CurrentSince Jan 1, 2026 Accepting new patients
Labette County Medical Center CurrentSince May 23, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Labette County Medical Center Past Accepting new patients
Taos Health Systems Inc Holy Cross Past Accepting new patients
Rooks County Medical Associates PA PastSince Mar 7, 2003 Accepting new patients

Locations

324 S Main St
Erie, KS 66733
Phone (620) 244-3291

2600 Ottawa Rd
Neodesha, KS 66757
Phone (620) 325-2611

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467430454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505262",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505262",
            "telephone_number": "866-822-8104",
            "fax_number": "844-815-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373306",
            "telephone_number": "620-688-6566",
            "fax_number": "620-688-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANN",
        "middle_name": "RENEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04606",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "244",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1847-14",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-28153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "GRANT",
            "middle_name": "RENEE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.