TAYLOR SORENSEN – Physician Assistant, NPI 1053931774
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for TAYLOR SORENSEN
12532 CHISZAR DR
MOKENA, IL 604481679
Phone: (815) 325-3430
Type: Mailing
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 282022742
Phone:
Type: Mailing
2001 Vail Ave Ste 320
Charlotte, NC 282071222
Phone: (704) 364-8100
Fax: (704) 365-2073
Type: Location
PO BOX 33369
CHARLOTTE, NC 282333369
Phone: (704) 364-8100
Type: Mailing
2001 VAIL AVE STE 320
CHARLOTTE, NC 282071222
Phone: (704) 364-8100
Fax: (704) 365-2073
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($150).
Total Amount
$180
General + Research + Ownership
Payments
2
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $150 |
| Tactile Systems Technology Inc | $30 |
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: 2020-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201203002676 | I | Physician Assistant | NC | TBD |
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.
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 60448)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | IL | |
| Physician Assistant | NC | |
| Physician Assistant | NC | |
| - | NC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | NC | |
| - | NC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | MI |
Reviews
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