SHANNON V. TAYLOR (PA-C) – Medical Physician Assistant, NPI 1265412084
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHANNON V. TAYLOR (PA-C)
OSF Medical Group - Specialty Clinic - Guilford Square, 698, Featherstone Road, Rockford, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 611076303
Phone: (815) 398-3277
Fax: (815) 484-7001
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)
CMS reports 2 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2023-04-21 • Largest payer in this snapshot: PFIZER INC. ($15).
Total Amount
$29
General + Research + Ownership
Payments
2
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $15 |
| ABBVIE INC. | $14 |
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: 2007-10-22
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 |
|---|---|---|---|---|
| I20071022000617 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 249 | 225 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 211 | 72 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 111 | 104 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 109 | 101 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 62 | 61 | $0 |
Insurance plans in this area (ZIP 61107)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | WI | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| - | IL | |
| Emergency Medicine | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| - | IL | |
| - | IL |
Reviews
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