Individual provider Active NPI

Beth Ann Taylor, APN

  • Family Nurse Practitioner
  • West Lafayette, IN
National Provider Identifier
1528071404
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002158A Issued in IN
Practice address
512 Sagamore Pkwy W
West Lafayette, IN 47906-1458
Phone
(765) 497-3551
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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 71002158A IN Primary

Addresses

Primary practice location

512 Sagamore Pkwy W
West Lafayette, IN 47906-1458

Mailing address

512 Sagamore Pkwy W
West Lafayette, IN 47906-1458
Phone (765) 497-3551

Other practice location 1

350 Massachusetts Ave Unit 22
Indianapolis, IN 46204-2270
Phone (317) 429-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070110000174 IN Practitioner - Nurse Practitioner 0941200273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cinqcare at Home PCGroup PAC ID 1456769330, 31 clinicians
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians

Practice addresses (Care Compare)

Indianapolis, IN 46240
Phone (317) 429-0170

512 Sagamore Pkwy W
West Lafayette, IN 47906-1458
Phone (866) 389-2727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002158AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Medical Practice PLLC Family CurrentSince Mar 1, 2025 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Apr 28, 2025 Accepting new patients
Cinqcare at Home PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

8900 Keystone Xing
Ste 540
Indianapolis, IN 46240
Phone (317) 429-0170

907 N East St
Indianapolis, IN 46202
Phone (317) 644-3461

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

512 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 430-7872

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: beth.taylor.1@32399.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1528071404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061458",
            "telephone_number": "765-497-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061458",
            "telephone_number": "765-497-3551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Massachusetts Ave Unit 22",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462042270",
            "country_code": "US",
            "telephone_number": "317-429-0120",
            "fax_number": "317-800-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002158A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.