MRS. MARTHA MARIE TAYLOR (PA-C) – Physician Assistant, NPI 1336705490

MRS. MARTHA MARIE TAYLOR (PA-C) is a healthcare provider. based in Rochester, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 13156 (MN). The NPI Number for MRS. MARTHA MARIE TAYLOR (PA-C) is 1336705490

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARTHA MARIE TAYLOR (PA-C)
NPI
1336705490
Phone
(507) 284-2511
Address
200 1ST ST SW
Enumeration Date
14 May 2019
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9202375048
Graduation Year
2019 (7 years ago)
PAC ID
7012248057
Group Practice PAC ID
6608058078
Professional Enrollment ID
I20210917002119
Address ID
WI549046926OS600XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for MRS. MARTHA MARIE TAYLOR (PA-C)

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

  • PO BOX 22487

    GREEN BAY, WI 543052487

    Phone: (920) 445-7222

    Type: Mailing

  • 1970 S RIDGE RD

    GREEN BAY, WI 543044125

    Phone: (920) 430-4888

    Fax: (920) 430-4889

    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: 2021-09-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210917002119IPhysician AssistantWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20814$0
20610Aspiration and/or injection of fluid from large joint3018$0
27447Replacement of knee joint, both sides of knee2321$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 55905)

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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: 6608058078View full group profile

Reviews

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Frequently asked questions

Can I verify MRS. MARTHA MARIE TAYLOR (PA-C) with an NPI only?
You can start verification with NPI 1336705490 for MRS. MARTHA MARIE TAYLOR (PA-C), then check state licensing separately.
Does CMS list MRS. MARTHA MARIE TAYLOR (PA-C) as active?
Yes — MRS. MARTHA MARIE TAYLOR (PA-C) is active in the NPI listing used on this page.
What taxonomy line describes MRS. MARTHA MARIE TAYLOR (PA-C)?
For research purposes, treat MRS. MARTHA MARIE TAYLOR (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. MARTHA MARIE TAYLOR (PA-C) on a map?
Expect Rochester, Minnesota as a primary anchor for MRS. MARTHA MARIE TAYLOR (PA-C) unless the record lists multiple sites.
Why does MRS. MARTHA MARIE TAYLOR (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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