NPIMap

Individual provider Active NPI

Taylor Peterson, PA-C

  • Physician Assistant
  • Saint Marys, PA
National Provider Identifier
1639657745
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
761 Johnsonburg Rd Ste a
Saint Marys, PA 15857-3483
Phone
(814) 788-8777
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

761 Johnsonburg Rd Ste a
Saint Marys, PA 15857-3483

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other names 1

  • Taylor Schlimm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023000214 PA Practitioner - Physician Assistant 3274886148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1465
Phone (814) 503-4305

761 Johnsonburg Rd
Suite 160
Saint Marys, PA 15857-3484
Phone (814) 788-8777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elk Regional Health Center Physician Assistant CurrentSince Nov 1, 2020 Accepting new patients
Dubois Regional Medical Center Physician Assistant CurrentSince Sep 18, 2018 Accepting new patients
Elk Regional Health Center CurrentSince Nov 1, 2020 Accepting new patients
Dubois Regional Medical Center CurrentSince Sep 18, 2018 Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

111 Cobb St
Johnsonburg, PA 15845
Phone (814) 965-2857

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

761 Johnsonburg Rd
Ste 160
Saint Marys, PA 15857
Phone (814) 788-8777

761 Johnsonburg Rd
Ste A
Saint Marys, PA 15857
Phone (814) 788-8777

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 and National Provider Directory roles.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1639657745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD STE A",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-788-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SCHLIMM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Marys, PA

Sources for this page

Verify at the official NPI Registry.