TAYLOR MECKENZIE CANTRELL (PA-C) – Physician Assistant, NPI 1164056529

TAYLOR MECKENZIE CANTRELL (PA-C) is a healthcare provider. based in Colorado springs, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.0006183 (CO). The NPI Number for TAYLOR MECKENZIE CANTRELL (PA-C) is 1164056529

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR MECKENZIE CANTRELL (PA-C)
NPI
1164056529
Phone
(719) 482-4403
Address
8970 PEABODY CT
Enumeration Date
25 February 2020
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207335260
Graduation Year
2019 (7 years ago)
PAC ID
9739518846
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20200410000142
Address ID
CO801047419CA4404XLNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

Provider Addresses for TAYLOR MECKENZIE CANTRELL (PA-C)

  • 8970 PEABODY CT

    COLORADO SPRINGS, CO 809207628

    Phone: (719) 482-4403

    Type: Mailing

  • 16222 W US HIGHWAY 24 STE 200

    WOODLAND PARK, CO 808638763

    Phone: (719) 686-0878

    Fax: (719) 365-7885

    Type: Location

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-4123

    Fax: (970) 490-4173

    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: 2020-04-10

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
I20200410000142IPhysician AssistantCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes365216$0
99213Established patient office or other outpatient visit, 20-29 minutes7265$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7070$0
99215Established patient office or other outpatient visit, 40-54 minutes2723$0
81003Automated urinalysis test2218$0
View full utilization report →

Insurance plans in this area (ZIP 80920)

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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: 9638208549View full group profile
NameSpecialtyState
Pulmonary DiseaseCO
-CO
-CO
-MO
Physician AssistantCO
-CO
Hospitalist, Internal MedicineNY
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO

Reviews

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Frequently asked questions

What number should I use to identify TAYLOR MECKENZIE CANTRELL (PA-C) for billing?
Administrative and clinical systems typically use NPI 1164056529 for TAYLOR MECKENZIE CANTRELL (PA-C).
Is TAYLOR MECKENZIE CANTRELL (PA-C)'s NPI status active today?
Active status means TAYLOR MECKENZIE CANTRELL (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say TAYLOR MECKENZIE CANTRELL (PA-C) does?
Insurance directories may phrase it differently, but here TAYLOR MECKENZIE CANTRELL (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TAYLOR MECKENZIE CANTRELL (PA-C) tied to Colorado Springs, Colorado?
If you are local to Colorado Springs, Colorado, TAYLOR MECKENZIE CANTRELL (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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