TAYLOR HALL – Primary Care Nurse Practitioner, NPI 1528742004
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Incyte Corporation | $233 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $226 |
| Amgen Inc. | $171 |
| E.R. Squibb & Sons, L.L.C. | $153 |
| GENZYME CORPORATION | $150 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240611002521 | I | Nurse Practitioner | WA | 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.
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
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Physician Assistant | WA | |
| Physician Assistant | TN | |
| Physician Assistant | CA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | WA |
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