Individual provider Active NPI

Taylor P. Spera, PA

  • Physician Assistant
  • Noblesville, IN
National Provider Identifier
1558734889
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
395 Westfield Rd
Noblesville, IN 46060-1425
Phone
(317) 776-7199
Fax
(317) 776-7921
NPI assigned
Nov 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

395 Westfield Rd
Noblesville, IN 46060-1425

Mailing address

4853 Solutions Ctr
Chicago, IL 60677-4008
Phone (260) 407-8000

Other identifiers 1

IdentifierTypeStateIssuer
000000972951OtherBCBS

Other names 1

  • Taylor P. Spera Former name

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
I20151125001947 IN Practitioner - Physician Assistant 6709186026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford DermatologyGroup PAC ID 7012206303, 4 clinicians

Practice addresses (Care Compare)

400 W Green Meadows Dr
Suite 110
Greenfield, IN 46140-3205
Phone (317) 967-7921

4055 Roy Wilson Way
Suite 200
New Palestine, IN 46163-8032
Phone (317) 967-7921

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.31 of 100Reported as group
Quality
67.3
Promoting interoperability
88
Improvement activities
40
Cost
83.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 2

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.

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1558734889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 SOLUTIONS CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606774008",
            "telephone_number": "260-407-8000",
            "fax_number": "260-407-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 WESTFIELD RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601425",
            "telephone_number": "317-776-7199",
            "fax_number": "317-776-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERA",
        "first_name": "TAYLOR",
        "middle_name": "P.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000972951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SPERA",
            "middle_name": "P.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.