Individual provider Active NPI

Taylor M Anderson, APRN

  • Nurse Practitioner
  • North Platte, NE
National Provider Identifier
1710464052
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
112554 Issued in NE
Practice address
611 W Francis St Ste 290
North Platte, NE 69101-0614
Phone
(308) 568-3500
NPI assigned
Jul 19, 2018
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112554 NE Primary

Addresses

Primary practice location

611 W Francis St Ste 290
North Platte, NE 69101-0614

Mailing address

611 W Francis St
North Platte, NE 69101-0620
Phone (308) 568-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20181002001498 NE Practitioner - Nurse Practitioner 2466703459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

611 W Francis St
200 Great Plains Health Outpatient Services
North Platte, NE 69101-0614
Phone (308) 568-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112554NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Nurse Practitioner CurrentSince Aug 20, 2018 Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

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 3

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": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1710464052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010620",
            "telephone_number": "308-568-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W FRANCIS ST STE 290",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691010614",
            "telephone_number": "308-568-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TAYLOR",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "112554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.