Individual provider Active NPI

Taylor Elaine Lemke, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1740743103
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-142539 Issued in AL
Practice address
42 Mitylene Park Lane
Montgomery, AL 36117
Phone
(334) 603-6626
NPI assigned
Apr 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-142539 AL Primary
Family Nurse Practitioner 363LF0000X 1-142539 AL

Addresses

Primary practice location

42 Mitylene Park Lane
Montgomery, AL 36117

Mailing address

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808

Other practice location 1

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191010001435 AL Practitioner - Nurse Practitioner 8628304003 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Associates of Alabama, LLCGroup PAC ID 7113271982, 13 clinicians

Practice addresses (Care Compare)

42 Mitylene Park Lane
Montgomery, AL 36117-7306
Phone (334) 603-6626

Merit-based Incentive Payment System (MIPS)

Final score
84.18 of 100Reported as group
Quality
75.76
Promoting interoperability
98
Improvement activities
40
Cost
73.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Sep 17, 2024 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Sep 17, 2024 Accepting new patients
Renal Associates of Alabama, LLC Family CurrentSince Jun 3, 2024 Accepting new patients
Emergency Services of Montgomery PC Nurse Practitioner CurrentSince Jun 24, 2022 Accepting new patients
The Center for Pain of Montgomery LLC CurrentSince Feb 11, 2020 Accepting new patients
The Center for Pain of Montgomery LLC CurrentSince Feb 11, 2020 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Sep 1, 2019 Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

488 Saint Lukes Dr
Montgomery, AL 36117
Phone (256) 496-2635

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

2065 E South Blvd
Ste 401
Montgomery, AL 36116

42 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 603-6626

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

277 Huntress St
Wetumpka, AL 36092
Phone (334) 277-3332

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

6228 Bradley Park Dr
Ste A
Columbus, GA 31904
Phone 7063221486203

Interoperability endpoints

  • Direct secure messaging: taylor.lemke.1@22854.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1740743103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MITYLENE PARK LANE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-603-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "488 Saint Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361177104",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "fax_number": "334-288-8089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMKE",
        "first_name": "TAYLOR",
        "middle_name": "ELAINE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-142539",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-142539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.