Katelynn Nicole Taylor, MSPA, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2024038711 Issued in MO

Practice address

17525 Medical Center Pkwy
Independence, MO 64057-1824

Phone

(816) 994-3150

Fax

(816) 359-3044

NPI assigned

Sep 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
• NKC Health Hospital, North Kansas City, MO, CCN 260096
• Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Kansas City Urology Care, P.a.

  • Urology Physician
  • Overland Park, KS
  • NPI 1528024676

  MO

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerpoint Medical Center of Independence, LLC

  • General Acute Care Hospital
  • Independence, MO
  • NPI 1942247044
  Care Compare affiliation
• North Kansas City Hospital

  • Skilled Nursing Facility
  • North Kansas City, MO
  • NPI 1437103215

  Hospital

  Care Compare affiliation
• North Kansas City Hospital

  • General Acute Care Hospital
  • North Kansas City, MO
  • NPI 1629062799
  Care Compare affiliation
• Western Missouri Medical Center

  • General Acute Care Hospital
  • Warrensburg, MO
  • NPI 1083601330
  Care Compare affiliation

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1548096829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 MEDICAL CENTER PKWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571824",
            "telephone_number": "816-994-3150",
            "fax_number": "816-359-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 MEDICAL CENTER PKWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571824",
            "telephone_number": "816-994-3150",
            "fax_number": "816-359-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATELYNN",
        "middle_name": "NICOLE",
        "credential": "MSPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024038711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2024038711",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Tatum, PT, DPT, ATC
• Maikel Ezzat Go Tawadrous, M.D.
• Aubrianna Renee Taylor
• Breanna L Taylor
• John RW Taylor, MD
• Kelsey Marie Taylor, DPT
• Marshall Taylor
• Rachel Lynn Taylor
• Teryia Taylor
• TC Medical Supplies and Equipment LLC

• Physician Assistant in Independence, MO
• Providers in Independence, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.