Individual provider Active NPI

Taylor Bookwalter

  • Physician Assistant
  • Douglassville, PA
National Provider Identifier
1720710825
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006268 Issued in PA
Practice address
1139 Ben Franklin Hwy W Ste 114
Douglassville, PA 19518-1853
Phone
(610) 385-1002
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 OA006268 PA Primary

Addresses

Primary practice location

1139 Ben Franklin Hwy W Ste 114
Douglassville, PA 19518-1853

Mailing address

PO Box 13579
Reading, PA 19612-3579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221128000260 PA Practitioner - Physician Assistant 3779951645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Health Urgent Care, LLCGroup PAC ID 2668716069, 57 clinicians

Practice addresses (Care Compare)

1139 Ben Franklin Hwy W
Suite 114
Douglassville, PA 19518-1853
Phone (610) 385-4444

2101 State Hill Rd
Suite 5
Wyomissing, PA 19610-1993
Phone (610) 898-2490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.28 of 100Reported as group
Quality
82.46
Promoting interoperability
97
Improvement activities
40
Cost
44.29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA006268PAMDPhysician Assistant

Organizations & group practices 1

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 6

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1720710825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 BEN FRANKLIN HWY W STE 114",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181853",
            "telephone_number": "610-385-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKWALTER",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

Verify at the official NPI Registry.