Individual provider Active NPI

Taylor Mock, PA-C

  • Surgical Physician Assistant
  • Indiana, PA
National Provider Identifier
1821649674
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
060933 Issued in PA
Practice address
841 Hospital Rd Ste 2300
Indiana, PA 15701-3699
Phone
(724) 349-7820
Fax
(724) 349-8816
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 060933 PA Primary

Addresses

Primary practice location

841 Hospital Rd Ste 2300
Indiana, PA 15701-3699

Mailing address

841 Hospital Rd Ste 2300
Indiana, PA 15701-3699
Phone (724) 349-7820

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
I20191223000174 PA Practitioner - Physician Assistant 1850725086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

879 Hospital Rd
Indiana, PA 15701-3629
Phone (888) 452-4762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
060933PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Single Specialty CurrentSince Oct 28, 2019 Accepting new patients
University of Pittsburgh Physicians Single Specialty CurrentSince Oct 28, 2019 Accepting new patients
Indiana Healthcare Physician Services Inc Single Specialty CurrentSince May 18, 2020 Accepting new patients
Irmc Urgicare at Indiana CurrentSince May 18, 2020 Accepting new patients

Locations

841 Hospital Rd
Ste 2300
Indiana, PA 15701
Phone (724) 349-7820

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

100 Delafield Rd
Ste 113
Pittsburgh, PA 15215
Phone (412) 683-9850

Organizations & group practices 5

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 4

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1821649674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 2300",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013699",
            "telephone_number": "724-349-7820",
            "fax_number": "724-349-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 2300",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013699",
            "telephone_number": "724-349-7820",
            "fax_number": "724-349-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "060933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.