Individual provider Active NPI

Kyle Taylor, DNP, FNP-C

  • Family Nurse Practitioner
  • Cheboygan, MI
National Provider Identifier
1922593847
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704292758 Issued in 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
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 4704292758 MI Primary

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 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180711001331 MI Practitioner - Nurse Practitioner 8729334412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704292758MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince 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

Organizations & group practices 3

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 3

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": "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

Sources for this page

Verify at the official NPI Registry.