NPIMap

Individual provider Active NPI

Elizabeth Taylor

  • Family Nurse Practitioner
  • Portage, MI
National Provider Identifier
1922476373
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704234496 Issued in MI
Practice address
2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Phone
(248) 824-6500
Fax
(855) 618-6655
NPI assigned
Sep 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 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 4704234496 MI Primary

Addresses

Primary practice location

2725 Airview Blvd Ste 105
Portage, MI 49002-1804

Mailing address

PO Box 40412
Belfast, ME 04915-1255
Phone (248) 824-6500

Other practice location 1

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Phone (616) 272-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915000307 MI Practitioner - Nurse Practitioner 9537476114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

Bay City, MI 48706
Phone (989) 667-8740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704234496MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careline Hmi300 LLC CurrentSince Aug 8, 2021 Accepting new patients
Transitional Care Services, LLC CurrentSince Aug 12, 2024 Accepting new patients
Vpa PC CurrentSince Jul 1, 2025 Accepting new patients
Vpa PC CurrentSince Jul 1, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

1484 Straits Dr
Ste 5
Bay City, MI 48706
Phone (989) 667-8740

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

103 S Jackson St
Ste 200
Jackson, MI 49201
Phone (517) 212-2008

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631

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

Interoperability endpoints

  • Direct secure messaging: elizabeth.taylor.1@32913.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1922476373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40412",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049151255",
            "telephone_number": "248-824-6500",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 AIRVIEW BLVD STE 105",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021804",
            "telephone_number": "248-824-6500",
            "fax_number": "855-618-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Kenmoor Ave SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468602",
            "country_code": "US",
            "telephone_number": "616-272-3533",
            "fax_number": "616-259-4839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704234496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.