TAYLA MARIE NIDEY (FNP-C) – Family Nurse Practitioner, NPI 1801699343

TAYLA MARIE NIDEY (FNP-C) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 71016643A (IN). The NPI Number for TAYLA MARIE NIDEY (FNP-C) is 1801699343

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
TAYLA MARIE NIDEY (FNP-C)
NPI
1801699343
Phone
(317) 528-4800
Address
PO BOX 781076
Enumeration Date
31 March 2025
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3175285500
Graduation Year
2025 (1 year ago)
PAC ID
2961915822
Group Practice PAC ID
2264558626
Professional Enrollment ID
I20250702003471
Address ID
IN462378601IN8111XAVEX437
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for TAYLA MARIE NIDEY (FNP-C)

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Fax: (317) 865-1479

    Type: Mailing

  • 8111 S Emerson Ave

    Indianapolis, IN 462378601

    Phone: (317) 528-5000

    Type: Location

  • 8111 S EMERSON AVE STE 105

    INDIANAPOLIS, IN 462378601

    Phone: (317) 528-5500

    Fax: (317) 528-6316

    Type: Location

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: 2025-07-02

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
I20250702003471INurse PractitionerINTBD

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 48278)

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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: 2264558626View full group profile
NameSpecialtyState
Nurse PractitionerIN
-MI
-IN
Hematopoietic Cell Transplantation And Cellular Therapy, Hematology/OncologyGA
Internal Medicine, Medical Oncology, Hematology/OncologyIN
Nurse PractitionerIN
Internal Medicine, Hematology/OncologyIN
Hematology/Oncology, Hematopoietic Cell Transplantation And Cellular Therapy, Internal MedicineMI

Reviews

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Frequently asked questions

Can I verify TAYLA MARIE NIDEY (FNP-C) with an NPI only?
You can start verification with NPI 1801699343 for TAYLA MARIE NIDEY (FNP-C), then check state licensing separately.
Does the file indicate TAYLA MARIE NIDEY (FNP-C) is practicing under active NPI?
Directory data currently reports TAYLA MARIE NIDEY (FNP-C) as active.
What is TAYLA MARIE NIDEY (FNP-C)'s primary classification?
Family Nurse Practitioner is the headline specialty for TAYLA MARIE NIDEY (FNP-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect TAYLA MARIE NIDEY (FNP-C) on a map?
Expect Detroit, Michigan as a primary anchor for TAYLA MARIE NIDEY (FNP-C) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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