Active NPI
Kaitlin Laura-Bennett Taylor, PA-C
- Physician Assistant
- Omaha, NE
National Provider Identifier
1801375654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2945
- Practice address
- 2525 S 135TH Ave
Omaha, NE 68144-2424 - Phone
- (702) 899-0595
- Fax
- (702) 977-1496
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2945 | NE | Primary |
Addresses
Primary practice location
2525 S 135TH Ave
Omaha, NE 68144-2424
Mailing address
PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231006001803 | NE | Practitioner - Physician Assistant | 9537413331 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2945 | NE | MD | Mental Health Counselor |
| 8083 | AZ | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants LLC | Current | Accepting new patients | |
| DM&a Holdings LLC | Past | Accepting new patients |
Locations
1700 Furnas St
Ashland, NE 68003
Phone (402) 758-5800
910 S 40th St
Omaha, NE 68105
Phone (402) 342-2015
2525 S 135th Ave
Omaha, NE 68144
Phone (402) 333-2304
1131 Papillion Pkwy
Omaha, NE 68154
Phone (402) 934-7500
Interoperability endpoints
- kaitlinbennett@ocfl.allscriptsdirect.net
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.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
NE
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1316829146
-
- Chiropractor
- Gilbert, AZ
- NPI 1043068703
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.28 of 100
- Quality
- 73.83
- Improvement activities
- 40
- Cost
- 45.57
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1801375654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74008272",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606748272",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S 135TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442424",
"telephone_number": "702-899-0595",
"fax_number": "702-977-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KAITLIN",
"middle_name": "LAURA-BENNETT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NE",
"license": "2945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.