Individual provider Active NPI

Taylor Ferrer, PA-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1558944868
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9113905 Issued in FL
Practice address
601 University Blvd Ste 201
Jupiter, FL 33458-2788
Phone
(561) 277-0699
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 9113905 FL Primary

Addresses

Primary practice location

601 University Blvd Ste 201
Jupiter, FL 33458-2788

Mailing address

601 University Blvd Ste 201
Jupiter, FL 33458-2788

Other identifiers 2

IdentifierTypeStateIssuer
1162640OtherFLNCCPA CERTIFICATION
9113905OtherFLPHYSICIAN ASSISTANT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Entsf.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210511000163 FL Practitioner - Physician Assistant 7810306529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Miami Criticare IncGroup PAC ID 5092629808, 24 clinicians

Practice addresses (Care Compare)

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202

1335 W Indiantown Rd
Jupiter, FL 33458-4631
Phone (561) 263-7025

5430 Military TRL
Jupiter, FL 33458-2873

6200 SW 73 St
Miami, FL 33143-4679
Phone (786) 662-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9113905FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc Multi-Specialty CurrentSince Apr 15, 2024 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 15, 2024 Accepting new patients
South Miami Criticare Inc. Multi-Specialty CurrentSince Sep 1, 2025 Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

5430 Military Trl
Ste 62
Jupiter, FL 33458
Phone (561) 263-4343

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

3250 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 263-5775

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

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, 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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1558944868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD STE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD STE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-277-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRER",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTIFICATION",
            "identifier": "1162640",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "9113905",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Entsf.com",
            "affiliation": "N",
            "address_1": "601 University Blvd Ste 201",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334582788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.