Individual provider Active NPI

Dustin Taggart, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1629966247
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.0039613 Issued in OH
Practice address
1 Medical Center Dr
Middletown, OH 45005-2584
Phone
(513) 974-2111
Fax
(513) 974-5156
NPI assigned
Jun 24, 2025
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.0039613 OH Primary

Addresses

Primary practice location

1 Medical Center Dr
Middletown, OH 45005-2584

Mailing address

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 473-3561

Other practice location 1

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Other practice location 2

970 W Wooster St Rm 224
Bowling Green, OH 43402-2662
Phone (419) 725-6850

Other practice location 3

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 440-4466

Other practice location 4

1 Wyoming St Ste Se3100B
Dayton, OH 45409-2722
Phone (937) 208-8394

Other practice location 5

9000 N Main St
Englewood, OH 45415-1180
Phone (937) 208-8394

Other practice location 6

2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394

Other practice location 7

3355 Meijer Dr
Toledo, OH 43617-3102
Phone (419) 725-6850

Other practice location 8

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 725-6850

Other identifiers 1

IdentifierTypeStateIssuer
0142674MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250919003630 OH Practitioner - Nurse Practitioner 5698279727 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magruder Medical Group LTDGroup PAC ID 1951675198, 13 clinicians

Practice addresses (Care Compare)

611 Fulton St
Port Clinton, OH 43452-2008

615 Fulton St
Port Clinton, OH 43452-2001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
H.B. Magruder Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Magruder Medical Group LTD CurrentSince Nov 1, 2025 Accepting new patients
Promedica Multi Specialty Physicians CurrentSince Oct 16, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Jul 11, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Jul 11, 2025 Accepting new patients
Toledo Clinic Incorporated CurrentSince Sep 4, 2025 Accepting new patients
Toledo Clinic Incorporated CurrentSince Sep 4, 2025 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
H.B. Magruder Memorial Hospital Past Accepting new patients

Locations

970 W Wooster St
Rm 224
Bowling Green, OH 43402
Phone (419) 373-6046

1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720

611 Fulton St
Ste A
Port Clinton, OH 43452
Phone (419) 725-6850

611 Fulton St
Ste C
Port Clinton, OH 43452
Phone (419) 732-6500

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

3355 Meijer Dr
Toledo, OH 43617
Phone (419) 725-6850

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 11

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": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1629966247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450052584",
            "telephone_number": "513-974-2111",
            "fax_number": "513-974-5156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 N Cove Blvd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063895",
            "country_code": "US",
            "telephone_number": "419-291-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 W Wooster St Rm 224",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434022662",
            "country_code": "US",
            "telephone_number": "419-725-6850",
            "fax_number": "419-725-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-440-4466",
            "fax_number": "937-440-4470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wyoming St Ste Se3100B",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "fax_number": "937-641-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151180",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "fax_number": "937-641-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Miami Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594774",
            "country_code": "US",
            "telephone_number": "937-208-8394",
            "fax_number": "937-641-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173102",
            "country_code": "US",
            "telephone_number": "419-725-6850",
            "fax_number": "419-725-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234299",
            "country_code": "US",
            "telephone_number": "419-725-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0039613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142674",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.