KALIE ANN TAYLOR – Registered Nurse, NPI 1003627936

KALIE ANN TAYLOR is a healthcare provider. based in Bay city, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704326171 (MI). The NPI Number for KALIE ANN TAYLOR is 1003627936

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KALIE ANN TAYLOR
NPI
1003627936
Phone
(989) 894-3000
Address
1900 COLUMBUS AVE
Enumeration Date
20 January 2025
Last Update Date
13 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898943278
Graduation Year
2025 (1 year ago)
PAC ID
8325533763
Group Practice PAC ID
5597659011
Professional Enrollment ID
I20251223001068
Address ID
MI487086831BA1900XAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:1State licenses:2Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for KALIE ANN TAYLOR

  • 1900 COLUMBUS AVE

    BAY CITY, MI 487086831

    Phone: (989) 894-3000

    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)

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: 2025-12-23

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
I20251223001068INurse PractitionerMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48708)

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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: 5597659011View full group profile
NameSpecialtyState
Internal MedicineMI
P S Y C H I A T R YMI
Orthopedic SurgeryMI
Physician AssistantMI
Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Interventional Cardiology, Cardiac ElectrophysiologyMI

Reviews

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Frequently asked questions

Is KALIE ANN TAYLOR listed with a National Provider Identifier?
Yes — KALIE ANN TAYLOR has NPI 1003627936 on file in the registry.
Is there an active status for KALIE ANN TAYLOR?
For scheduling context, KALIE ANN TAYLOR is shown as active in the registry.
What kind of doctor is KALIE ANN TAYLOR?
KALIE ANN TAYLOR is associated with Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
Is KALIE ANN TAYLOR located near Bay City?
KALIE ANN TAYLOR currently maps to Bay City, Michigan in this extract.
Can I trust this NPI listing for KALIE ANN TAYLOR?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.