DR. TERRY LYNN TAYLOR (PMHNP, DNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1124345764

DR. TERRY LYNN TAYLOR (PMHNP, DNP) is a healthcare provider. based in Walnut creek, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP, DNP. They hold a License No. CNP00112 (NM). The NPI Number for DR. TERRY LYNN TAYLOR (PMHNP, DNP) is 1124345764

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. TERRY LYNN TAYLOR (PMHNP, DNP)
NPI
1124345764
Phone
(925) 943-4912
Address
1810 MEADOW LN
Enumeration Date
21 April 2010
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5058737400
Graduation Year
2007 (19 years ago)
PAC ID
8224278239
Group Practice PAC ID
7315854049
Professional Enrollment ID
I20210324002271
Address ID
NM871054592AL2001XSWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for DR. TERRY LYNN TAYLOR (PMHNP, DNP)

  • 1810 MEADOW LN

    WALNUT CREEK, CA 945952630

    Phone: (925) 943-4912

    Type: Mailing

  • 2001 CENTRO FAMILIAR BLVD SW

    ALBUQUERQUE, NM 871054592

    Phone: (505) 873-7400

    Type: Location

  • 9047 FENTON LAKE RD NW

    ALBUQUERQUE, NM 871204218

    Phone: (925) 876-2299

    Type: Mailing

  • PO BOX 912678

    DENVER, CO 802912678

    Phone: (505) 241-5182

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210324002271INurse PractitionerNMTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94595)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315854049View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. TERRY LYNN TAYLOR (PMHNP, DNP)?
For DR. TERRY LYNN TAYLOR (PMHNP, DNP), use NPI 1124345764 as the unique 10-digit identifier.
Is there an active status for DR. TERRY LYNN TAYLOR (PMHNP, DNP)?
For scheduling context, DR. TERRY LYNN TAYLOR (PMHNP, DNP) is shown as active in the registry.
What kind of doctor is DR. TERRY LYNN TAYLOR (PMHNP, DNP)?
DR. TERRY LYNN TAYLOR (PMHNP, DNP) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in California is DR. TERRY LYNN TAYLOR (PMHNP, DNP) registered?
Use Walnut Creek, California as the headline location for DR. TERRY LYNN TAYLOR (PMHNP, DNP) here.
When was this NPI issued?
Enumeration for DR. TERRY LYNN TAYLOR (PMHNP, DNP) is noted as April 21, 2010 where the registry provides it.

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