MS. TAYLOR RAE ALTENTHAL (APRN) – Family Nurse Practitioner, NPI 1811548530

MS. TAYLOR RAE ALTENTHAL (APRN) is a healthcare provider. based in Dexter, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2019025833 (MO). The NPI Number for MS. TAYLOR RAE ALTENTHAL (APRN) is 1811548530

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAYLOR RAE ALTENTHAL (APRN)
NPI
1811548530
Phone
(573) 421-1199
Address
16973 COUNTY ROAD 624
Enumeration Date
24 September 2019
Last Update Date
16 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
5734721770
Graduation Year
2019 (7 years ago)
PAC ID
3577949361
Group Practice PAC ID
6507818044
Professional Enrollment ID
I20220930002874
Address ID
MO638014403SI200XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MS. TAYLOR RAE ALTENTHAL (APRN)

  • 16973 COUNTY ROAD 624

    DEXTER, MO 638418980

    Phone: (573) 421-1199

    Type: Mailing

  • 6738 STATE HIGHWAY 77

    BENTON, MO 637368238

    Phone:

    Type: Mailing

  • 200 PINE ST

    SIKESTON, MO 638013258

    Phone: (573) 472-8850

    Fax: (573) 472-4050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $71.

Total Amount is formed as General ($71) + Research ($0) + Ownership ($0) = $71.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: Novo Nordisk Inc ($31).

Total Amount

$71

General + Research + Ownership

Payments

4

Total payment records

General Amount

$71

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-30

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
I20220930002874INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63841)

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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: 6507818044View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO
Nurse PractitionerMO
-AR
Mental Health CounselorMO
Vascular Surgery, Family Practice, Internal MedicineMO
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

Does MS. TAYLOR RAE ALTENTHAL (APRN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. TAYLOR RAE ALTENTHAL (APRN) uses 1811548530.
Is MS. TAYLOR RAE ALTENTHAL (APRN) listed as active for patients and plans?
The listing shows MS. TAYLOR RAE ALTENTHAL (APRN) as active in the NPI system.
What is MS. TAYLOR RAE ALTENTHAL (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for MS. TAYLOR RAE ALTENTHAL (APRN) here. Clinical services aligned with this taxonomy classification.
Where should I expect MS. TAYLOR RAE ALTENTHAL (APRN) on a map?
Expect Dexter, Missouri as a primary anchor for MS. TAYLOR RAE ALTENTHAL (APRN) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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