TAYLOR FONTAINE (PA-C) – Physician Assistant, NPI 1033593025
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for TAYLOR FONTAINE (PA-C)
801 Belsly Blvd
Moorhead, MN 565605055
Phone: (218) 364-6800
Fax: (218) 233-9267
Type: Location
1800 21ST AVE S
FARGO, ND 581035759
Phone: (701) 365-8700
Fax: (701) 365-8701
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $765.
Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: AERIN MEDICAL INC. ($238).
Total Amount
$765
General + Research + Ownership
Payments
33
Total payment records
General Amount
$765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-09-17
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 |
|---|---|---|---|---|
| I20150917001792 | I | Physician Assistant | ND | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95027 | Test for allergy using airborne allergenic extract injected into skin | 814 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 163 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 135 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 110 | 110 | $0 |
| 69210 | Removal of impacted ear wax | 54 | 43 | $0 |
Insurance plans in this area (ZIP 56560)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| O T O L A R Y N G O L O G Y | ND |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.