TAYLOR RENO (FNP-C) – Nurse Practitioner, NPI 1366192908

TAYLOR RENO (FNP-C) is a healthcare provider. based in Maryville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 209025364 (IL). The NPI Number for TAYLOR RENO (FNP-C) is 1366192908

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR RENO (FNP-C)
NPI
1366192908
Phone
(618) 288-7605
Address
2133 Vadalabene Dr Ste 5B
Enumeration Date
26 March 2022
Last Update Date
28 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883638333
Graduation Year
2021 (5 years ago)
PAC ID
1658749965
Group Practice PAC ID
6103264510
Professional Enrollment ID
I20221117001216
Address ID
IL620250000ED1181X157X500
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for TAYLOR RENO (FNP-C)

  • 2133 Vadalabene Dr Ste 5B

    Maryville, IL 620625839

    Phone: (618) 288-7605

    Type: Location

  • 2133 VADALABENE DR STE 5B

    MARYVILLE, IL 620625839

    Phone: (618) 288-7605

    Type: Mailing

  • 4550 MEMORIAL DR STE 280

    BELLEVILLE, IL 622265372

    Phone: (618) 767-3235

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $927.

Total Amount is formed as General ($927) + Research ($0) + Ownership ($0) = $927.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($202).

Total Amount

$927

General + Research + Ownership

Payments

40

Total payment records

General Amount

$927

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-11-17

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
I20221117001216INurse PractitionerILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3030$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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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: 6103264510View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIN
Physical Therapist In Private PracticeOR
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerAZ
Physical Therapist In Private PracticeIL
Family PracticeIL

Reviews

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Frequently asked questions

Where can patients find TAYLOR RENO (FNP-C)'s NPI?
You can confirm TAYLOR RENO (FNP-C) with NPI 1366192908; it appears in the national provider directory.
Is TAYLOR RENO (FNP-C) active in the national directory?
TAYLOR RENO (FNP-C)'s public NPI profile is in an active state.
What field does TAYLOR RENO (FNP-C) work in?
You can think of TAYLOR RENO (FNP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place TAYLOR RENO (FNP-C)?
The snapshot lists Maryville, Illinois for TAYLOR RENO (FNP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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