THAD L TAYLOR (FNP) – Family Nurse Practitioner, NPI 1023381357

THAD L TAYLOR (FNP) is a healthcare provider. based in Joplin, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2012005450 (MO). The NPI Number for THAD L TAYLOR (FNP) is 1023381357

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
THAD L TAYLOR (FNP)
NPI
1023381357
Phone
(417) 625-2300
Address
2817 Saint Johns Blvd
Enumeration Date
16 February 2012
Last Update Date
1 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4175562300
Graduation Year
2011 (15 years ago)
PAC ID
4284893611
Group Practice PAC ID
0345247052
Professional Enrollment ID
I20120305000409
Address ID
MO648044524JO100XXWAYX326
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for THAD L TAYLOR (FNP)

  • 2817 Saint Johns Blvd

    Emergency Department

    Joplin, MO 648041563

    Phone: (417) 625-2300

    Fax: (417) 625-2005

    Type: Location

  • 100 MERCY WAY

    JOPLIN, MO 648044524

    Phone: (417) 556-2300

    Fax: (417) 556-2906

    Type: Mailing

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: 2012-03-05

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
I20120305000409INurse PractitionerMOTBD

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
99285Emergency department visit with high level of medical decision making9895$0
99284Emergency department visit with moderate level of medical decision making6663$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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: 0345247052View full group profile
NameSpecialtyState
Emergency MedicineOK
Nurse PractitionerKS
Emergency MedicineOK
Emergency MedicineLA
Emergency MedicineMO
Emergency MedicineMO
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineOK
Emergency MedicineRI

Reviews

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Frequently asked questions

Is THAD L TAYLOR (FNP) listed with a National Provider Identifier?
Yes — THAD L TAYLOR (FNP) has NPI 1023381357 on file in the registry.
Would THAD L TAYLOR (FNP) appear as active to a payer?
You can treat THAD L TAYLOR (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is THAD L TAYLOR (FNP)?
THAD L TAYLOR (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is THAD L TAYLOR (FNP) associated with Joplin?
Public fields place THAD L TAYLOR (FNP) around Joplin, Missouri. Always confirm the exact site before visiting.
Does THAD L TAYLOR (FNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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