TAYLOR TIRRELL (PA-C) – Physician Assistant, NPI 1316613474

TAYLOR TIRRELL (PA-C) is a healthcare provider. based in East providence, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA01447 (RI). The NPI Number for TAYLOR TIRRELL (PA-C) is 1316613474

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR TIRRELL (PA-C)
NPI
1316613474
Phone
(401) 435-5644
Address
400 Warren Ave Fl 2
Enumeration Date
19 August 2021
Last Update Date
22 September 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4019215800
Graduation Year
2022 (4 years ago)
PAC ID
9830578244
Group Practice PAC ID
5991768699
Professional Enrollment ID
I20220615000855
Address ID
RI028867140WA3520XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for TAYLOR TIRRELL (PA-C)

  • 400 Warren Ave Fl 2

    East Providence, RI 029143826

    Phone: (401) 435-5644

    Fax: (401) 921-5826

    Type: Location

  • 117 ELLENFIELD ST STE 101

    PROVIDENCE, RI 029054541

    Phone:

    Type: Mailing

  • 2 DUDLEY STREET CO-OP 1

    PROVIDENCE, RI 029050290

    Phone: (401) 444-5471

    Fax: (401) 444-4557

    Type: Location

  • 3520 POST RD

    WARWICK, RI 028867140

    Phone: (401) 921-5800

    Fax: (401) 921-5826

    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: 2022-06-15

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
I20220615000855IPhysician AssistantRITBD

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 02914)

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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: 5991768699View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YRI
Physician AssistantRI
O T O L A R Y N G O L O G YRI
O T O L A R Y N G O L O G YRI
-RI
O T O L A R Y N G O L O G YRI
-RI
-RI
Qualified AudiologistRI
Qualified AudiologistRI

Reviews

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Frequently asked questions

What number should I use to identify TAYLOR TIRRELL (PA-C) for billing?
Administrative and clinical systems typically use NPI 1316613474 for TAYLOR TIRRELL (PA-C).
Should I treat TAYLOR TIRRELL (PA-C) as an active provider?
Patients and plans typically see TAYLOR TIRRELL (PA-C) as active in the national extract.
What type of care does TAYLOR TIRRELL (PA-C) provide?
TAYLOR TIRRELL (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to TAYLOR TIRRELL (PA-C)?
The directory associates TAYLOR TIRRELL (PA-C) with East Providence, Rhode Island. Check all listed addresses for suites or satellite offices.
Can I export TAYLOR TIRRELL (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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