MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1659906238

MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) is a healthcare provider. based in Manhattan beach, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 95012944 (CA). The NPI Number for MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) is 1659906238

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIM ELISE TAYLOR (NURSE PRACTITIONER)
NPI
1659906238
Phone
(310) 546-3481
Address
2900 N SEPULVEDA BLVD
Enumeration Date
4 March 2020
Last Update Date
17 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3039440949
Graduation Year
2019 (7 years ago)
PAC ID
1557773777
Group Practice PAC ID
7012177025
Professional Enrollment ID
I20201211002752
Address ID
CA903014509IN301XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MS. KIM ELISE TAYLOR (NURSE PRACTITIONER)

  • 2900 N SEPULVEDA BLVD

    MANHATTAN BEACH, CA 902662788

    Phone: (310) 546-3481

    Mailing address matches the actual address.

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: 2020-12-11

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
I20201211002752INurse PractitionerCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2522$0
36415Insertion of needle into vein for collection of blood sample1716$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 90266)

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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: 7012177025View full group profile
NameSpecialtyState
Emergency MedicineCA
-CA
-CA
Nurse PractitionerCA
Family Practice, General Practice, Internal MedicineCA

Reviews

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Frequently asked questions

Does MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) uses 1659906238.
Does the file indicate MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) is practicing under active NPI?
Directory data currently reports MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) as active.
What taxonomy line describes MS. KIM ELISE TAYLOR (NURSE PRACTITIONER)?
For research purposes, treat MS. KIM ELISE TAYLOR (NURSE PRACTITIONER) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MS. KIM ELISE TAYLOR (NURSE PRACTITIONER)?
MS. KIM ELISE TAYLOR (NURSE PRACTITIONER)'s geographic hint is Manhattan Beach, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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