Michael Taylor

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008904 Issued in CO

Practice address

900 Cedar St
Julesburg, CO 80737-1121

Phone

(970) 474-3323

NPI assigned

Aug 16, 2022

Sex

Male

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 CO, NE2 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

Oklahoma State University College of Osteopathic Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cheyenne County Hospital Association IncGroup PAC ID 1658345657, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357
• Sedgwick County Memorial Hospital Hospital, Julesburg, CO, CCN 061310
• Morrill County Community Hospital Hospital, Bridgeport, NE, CCN 281318

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Medicare reassignment Care Compare group
• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938

  CO

  Medicare reassignment
• Cheyenne County Hospital Association

  • Specialty Pharmacy
  • Sidney, NE
  • NPI 1558077396
  NPD
• Cheyenne County Hospital Association, Inc.

  • Clinic/Center
  • Sidney, NE
  • NPI 1538858238
  NPD

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

• Sedgwick County Memorial Hospital

  • Critical Access Hospital
  • Julesburg, CO
  • NPI 1740295591
  Care Compare affiliation
• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Care Compare affiliation
• Morrill County Community Hospital

  • Critical Access Hospital
  • Bridgeport, NE
  • NPI 1609816149
  Care Compare affiliation

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1629796701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371199",
            "telephone_number": "970-474-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-3323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741071886",
            "country_code": "US",
            "telephone_number": "918-561-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sedgwick County Memorial Hospital
• Sedgwick County Memorial Hospital
• Sedgwick County Memorial Hospital and Nursing Home
• Mandy L Shaw, M.D,
• Connie Swick

• Physician Assistant in Julesburg, CO
• Providers in Julesburg, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.