Individual provider Active NPI

Taya Rose Pantaleo, FNP-BC

  • Family Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1780559658
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704363283 Issued in MI
Practice address
1701 South Blvd E Ste 250
Rochester Hills, MI 48307-6123
Phone
(248) 293-1002
NPI assigned
Oct 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704363283 MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 250
Rochester Hills, MI 48307-6123

Mailing address

1892 Kirts Blvd Apt 216
Troy, MI 48084-4373
Phone (586) 612-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20251209003378 MI Practitioner - Nurse Practitioner 8628562493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians
Transitional Care Services LLCGroup PAC ID 6709165954, 45 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Rochester Hills, MI 48307-6116

4568 W Walton Blvd
Suite D
Waterford, MI 48329-4900
Phone (855) 466-3631

4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704363283MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcturus Healthcare PLC CurrentSince Nov 10, 2025 Accepting new patients
Arcturus Healthcare PLC CurrentSince Nov 10, 2025 Accepting new patients
Macomb Oakland Adult Medicine PC Current Accepting new patients

Locations

1701 South Blvd E
Ste 250
Rochester Hills, MI 48307
Phone (248) 293-1002

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

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 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": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1780559658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 KIRTS BLVD APT 216",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844373",
            "telephone_number": "586-612-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 250",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076123",
            "telephone_number": "248-293-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTALEO",
        "first_name": "TAYA",
        "middle_name": "ROSE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704363283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.