AMANDA TAYLOR – Physician Assistant, NPI 1487381117

AMANDA TAYLOR is a healthcare provider. based in Niantic, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5747 (CT). The NPI Number for AMANDA TAYLOR is 1487381117

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA TAYLOR
NPI
1487381117
Phone
(860) 919-0391
Address
63 E SHORE DR
Enumeration Date
3 August 2022
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
3971987595
Group Practice PAC ID
1254233836
Professional Enrollment ID
I20220831002437
Address ID
CT065103220NE20XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for AMANDA TAYLOR

  • 63 E SHORE DR

    NIANTIC, CT 063573833

    Phone: (860) 919-0391

    Type: Mailing

  • 20 YORK ST

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Location

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: 2022-08-31

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
I20220831002437IPhysician AssistantCTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17977$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10161$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3612$0
99239Hospital discharge day management, more than 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 06357)

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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: 1254233836View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
-CT
-CT
Internal MedicineNJ
Hospitalist, Internal MedicineCT
-CT
-CT
Internal MedicineCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

What is AMANDA TAYLOR's NPI number?
AMANDA TAYLOR's NPI is 1487381117 — the number used across U.S. healthcare to identify this provider.
Would AMANDA TAYLOR appear as active to a payer?
You can treat AMANDA TAYLOR as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for AMANDA TAYLOR?
At a glance, AMANDA TAYLOR is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Connecticut is AMANDA TAYLOR registered?
Use Niantic, Connecticut as the headline location for AMANDA TAYLOR here.
Does AMANDA TAYLOR accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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