Pamela Jenkins Taylor, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11026683 Issued in FL

Practice address

4068 E Sr 44
Wildwood, FL 34785-7486

Phone

(352) 643-6555

NPI assigned

Jun 1, 2023

Last updated

Aug 10, 2023By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tara Connor DO PAGroup PAC ID 8729063581, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Tara Connor DO PA

  • Family Medicine Physician
  • Inverness, FL
  • NPI 1245432111
  Medicare reassignment Care Compare group
• Tricounty Physicians, LLC

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1891084406
  Medicare reassignment NPD
• Villa Health Pulmonary LLC

  • Pulmonary Disease Physician
  • The Villages, FL
  • NPI 1437780830
  NPD
• Medi Winter Park LLC

  • General Practice Physician
  • Winter Park, FL
  • NPI 1588086953
  NPD (past)

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1558054718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 CR 627",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335138522",
            "telephone_number": "352-397-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 E SR 44",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857486",
            "telephone_number": "352-643-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1507 Buenos Aires Blvd",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321598974",
            "country_code": "US",
            "telephone_number": "352-561-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "PAMELA",
        "middle_name": "JENKINS",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Scott Southard
• David Wayne Stephenson, MD
• Lakiesha Stokes, CNA
• Sugar-Bears Homemaker and Companion
• Sumter County Board of County Commissioners
• Tee's Fluttering Angels LLC
• The Blissful Doulala LLC
• Theresa Williams
• TKD Healthcare Services (Drivers Health Clinc)
• Dung Tran

• Family Nurse Practitioner in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.