KENNETH TAYLOR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720064538

KENNETH TAYLOR (CRNA) is a healthcare provider. based in Danvers, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 120904 (MA). The NPI Number for KENNETH TAYLOR (CRNA) is 1720064538

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH TAYLOR (CRNA)
NPI
1720064538
Phone
(978) 774-4400
Address
75 LINDALL ST
Enumeration Date
22 December 2005
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9787740989
Graduation Year
1992 (34 years ago)
PAC ID
3375700230
Group Practice PAC ID
2365405024
Professional Enrollment ID
I20120203000369
Address ID
MA019234065DA480XXSTXX379
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

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Provider Addresses for KENNETH TAYLOR (CRNA)

  • Recovery Center of America, 75, Lindall Street, Danvers, Essex County, Massachusetts, 01923, United States

    HUNT CENTER

    DANVERS, MA 019232121

    Phone: (978) 774-4400

    Fax: (978) 777-1462

    Type: Location

  • 75 Lindall St

    Hunt Center

    Danvers, MA 019232121

    Phone: (978) 774-4400

    Fax: (978) 777-1462

    Type: Location

  • 85 HERRICK ST

    BEVERLY, MA 019151790

    Phone: (978) 816-3700

    Type: Location

  • 41 MALL RD

    BURLINGTON, MA 018050001

    Phone:

    Type: Mailing

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: 2012-02-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120203000369ICertified Registered Nurse Anesthetist (Crna)MATBD

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
00812Anesthesia for exam of colon using an endoscope5858$0
01402Anesthesia for procedure for total knee joint replacement3535$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2424$0
01214Anesthesia for total hip replacement1616$0
01638Anesthesia for open or endoscopic total shoulder joint replacement1414$0
View full utilization report →

Insurance plans in this area (ZIP 01923)

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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: 2365405024View full group profile
NameSpecialtyState
Infectious DiseaseMA
Internal MedicineMA
A N E S T H E S I O L O G YMA
-MA
Clinical Social WorkerMA
Interventional Cardiology, Cardiovascular Disease (Cardiology)MA
-MA
Nurse PractitionerMA
-MA
-MA

Reviews

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Frequently asked questions

How is KENNETH TAYLOR (CRNA) identified in CMS data?
CMS-hosted NPPES data lists KENNETH TAYLOR (CRNA) with NPI 1720064538.
Can I rely on KENNETH TAYLOR (CRNA) being an active provider?
As of the registry snapshot, KENNETH TAYLOR (CRNA) is marked active.
What is KENNETH TAYLOR (CRNA) best known for clinically?
Directory data describes KENNETH TAYLOR (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for KENNETH TAYLOR (CRNA)?
KENNETH TAYLOR (CRNA)'s geographic hint is Danvers, Massachusetts in our summary view.
Why does KENNETH TAYLOR (CRNA) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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