TAYLOR LINDSEY REISMANN (PA) – Physician Assistant, NPI 1255989919
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for TAYLOR LINDSEY REISMANN (PA)
3132, Integrity Way, Beaver Landing, Rock Island, Rock Island County, Illinois, 61201, United States
ROCK ISLAND, IL 612016151
Phone: (563) 419-2094
Type: Mailing
4909 N GLEN PARK PLACE RD
PEORIA, IL 616144689
Phone: (309) 674-7546
Fax: (309) 691-9286
Type: Mailing
1800 E 54TH ST
DAVENPORT, IA 528072852
Phone: (563) 344-7546
Fax: (309) 344-1373
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $862.
Total Amount is formed as General ($862) + Research ($0) + Ownership ($0) = $862.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($310).
Total Amount
$862
General + Research + Ownership
Payments
54
Total payment records
General Amount
$862
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dermavant Sciences, Inc. | $310 |
| ABBVIE INC. | $159 |
| Sun Pharmaceutical Industries Inc. | $150 |
| UCB, Inc. | $53 |
| E.R. Squibb & Sons, L.L.C. | $37 |
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: 2021-05-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210514001602 | I | Physician Assistant | IA | TBD |
| I20210524001004 | I | Physician Assistant | IL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,486 | 272 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,032 | 717 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 464 | 348 | $0 |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 323 | 25 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 108 | 88 | $0 |
Insurance plans in this area (ZIP 61201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Plastic And Reconstructive Surgery | IL | |
| D E R M A T O L O G Y | IA | |
| Physician Assistant | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| P A T H O L O G Y | IL | |
| - | CA | |
| Nurse Practitioner | IA |
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