NPIMap

Kyle Taylor, DNP, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Cheboygan, MI

NPI 1922593847 · NPPES record last updated Jul 1, 2024

Key facts

NPI
1922593847
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4704292758 (MI)
Practice address
740 S Main St FL 2
Cheboygan, MI 49721-2220
Phone
(231) 627-7118
Fax
(231) 363-1822
NPI assigned
Jun 22, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 17

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health Inc (65 clinicians)

Practice addresses (Care Compare)

177 N Barlow Rd
Harrisville, MI 48740-9607
Phone (989) 736-8157

181 N Barlow Rd
Ahc Tiger Health Extension
Harrisville, MI 48740-9607
Phone (989) 736-8716

6135 Cressy St
Indian River, MI 49749-5151
Phone (231) 238-8908

740 S Main St FL
2 Alcona Health Center Cheboygan Camp
Cheboygan, MI 49721-2220
Phone (231) 627-7118

Hospital & facility affiliations

  • McLaren Home Health Home health agency · Cheboygan, MI · CCN 237160
  • McLaren Northern Michigan Hospital · Petoskey, MI · CCN 230105

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20180711001331 MI Practitioner - Nurse Practitioner 8729334412 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704292758MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. Current
since Jul 19, 2021		 Accepting new patients
Alcona Citizens for Health, Inc. Current
since Jul 19, 2021		 Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients

Locations

1035 W Washington Ave
Alpena, MI 49707

740 S Main St
Fl 2
Cheboygan, MI 49721
Phone (231) 627-7118

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

6135 Cressy St
Indian River, MI 49749
Phone (231) 238-8908

Interoperability endpoints

  • Direct secure messaging: kyle.taylor.p1@direct.alcona.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704292758 MI Yes

Addresses

Primary practice location

740 S Main St FL 2
Cheboygan, MI 49721-2220

Mailing address

PO Box 655
Alpena, MI 49707-0655
Phone (231) 627-7118

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kyle.taylor.p1@direct.alcona.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 1, 2024.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1922593847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "231-627-7118",
            "fax_number": "231-363-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S MAIN ST FL 2",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-7118",
            "fax_number": "231-363-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kyle.taylor.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "740 S Main St Fl 2",
            "city": "Cheboygan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497212220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheboygan, MI

All providers in Cheboygan, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.