TAYLOR HALL – Primary Care Nurse Practitioner, NPI 1528742004

TAYLOR HALL is a healthcare provider. based in Commerce township, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704353408 (MI). The NPI Number for TAYLOR HALL is 1528742004

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR HALL
NPI
1528742004
Phone
(248) 388-9242
Address
1968 OAKSIDE CT
Enumeration Date
14 June 2023
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535722842
Graduation Year
2023 (3 years ago)
PAC ID
3971950742
Group Practice PAC ID
5193995777
Professional Enrollment ID
I20240611002521
Address ID
WA984998410LA7502XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for TAYLOR HALL

  • 1968 OAKSIDE CT

    COMMERCE TOWNSHIP, MI 483823758

    Phone: (248) 388-9242

    Type: Mailing

  • 28903 WOODWARD AVE

    BERKLEY, MI 480720924

    Phone: (248) 581-0333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,596.

Total Amount is formed as General ($1,596) + Research ($0) + Ownership ($0) = $1,596.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Incyte Corporation ($233).

Total Amount

$1,596

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,596

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-11

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
I20240611002521INurse PractitionerWATBD

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 48382)

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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: 5193995777View full group profile
NameSpecialtyState
Nurse PractitionerWA
Physician AssistantWA
Physician AssistantTN
Physician AssistantCA
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerWA
D E R M A T O L O G YOR
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Is there an official ID for TAYLOR HALL in U.S. healthcare records?
The official identifier for TAYLOR HALL is NPI 1528742004.
Would TAYLOR HALL appear as active to a payer?
You can treat TAYLOR HALL as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with TAYLOR HALL?
TAYLOR HALL's record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is TAYLOR HALL associated with Commerce Township?
Public fields place TAYLOR HALL around Commerce Township, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for TAYLOR HALL is noted as June 14, 2023 where the registry provides it.

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