Active NPI
Tayler Marcolla, N.P.
- Family Nurse Practitioner
- Cameron, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015021531
- Practice address
- 801 Euclid Ave
Cameron, MO 64429-2003 - Phone
- (816) 632-7254
- NPI assigned
- Aug 13, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2015021531 | MO | Primary |
Addresses
Primary practice location
801 Euclid Ave
Cameron, MO 64429-2003
Mailing address
2204 Ridgecrest St
Chillicothe, MO 64601-3932
Phone (816) 262-6919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 N Main St
Advantage Surgical and Wound Care
Eskridge, KS 66423-9646
Phone (785) 449-2294
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Health of Mo LLC | Current | Accepting new patients | |
| Robert Marriott Medical Corp | Current | Accepting new patients | |
| KC Geriatrics LLC | Current | Accepting new patients | |
| Ascentist Physicians Group, LLC | Past | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
505 N Main St
Eskridge, KS 66423
Phone (785) 449-2294
10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800
801 Euclid Ave
Cameron, MO 64429
Phone (816) 632-7254
3001 E Elm St
Harrisonville, MO 64701
Phone (816) 380-6525
19200 E 37th Ter S
Independence, MO 64057
Phone (816) 335-3007
600 E Sunrise Dr
Raymore, MO 64083
Phone (816) 322-1991
9350 Green Park Rd
#A
Saint Louis, MO 63123
Phone (314) 845-0900
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Kansas City, MO
- NPI 1457956690
-
- Otolaryngology Physician
- Lees Summit, MO
- NPI 1649206319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1831565811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 RIDGECREST ST",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "646013932",
"telephone_number": "816-262-6919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 EUCLID AVE",
"city": "CAMERON",
"state": "MO",
"postal_code": "644292003",
"telephone_number": "816-632-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCOLLA",
"first_name": "TAYLER",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2015021531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.