KIMECIA H TAYLOR – Certified Registered Nurse Anesthetist, NPI 1083294995

KIMECIA H TAYLOR is a healthcare provider. based in Memphis, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 29707 (TN). The NPI Number for KIMECIA H TAYLOR is 1083294995

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KIMECIA H TAYLOR
NPI
1083294995
Phone
(901) 674-9459
Address
877 JEFFERSON AVE
Enumeration Date
13 April 2021
Last Update Date
24 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9015167000
Graduation Year
2021 (5 years ago)
PAC ID
5597166223
Group Practice PAC ID
8527419092
Professional Enrollment ID
I20210701000828
Address ID
TN381043415ME1265XAVEX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for KIMECIA H TAYLOR

  • 877 JEFFERSON AVE

    MEMPHIS, TN 381032807

    Phone: (901) 674-9459

    Type: Location

  • 5091 FOREST OASIS LN

    BARTLETT, TN 381356245

    Phone: (901) 674-9459

    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: 2021-07-01

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
I20210701000828ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 38103)

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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: 8527419092View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

What number should I use to identify KIMECIA H TAYLOR for billing?
Administrative and clinical systems typically use NPI 1083294995 for KIMECIA H TAYLOR.
Should I treat KIMECIA H TAYLOR as an active provider?
Patients and plans typically see KIMECIA H TAYLOR as active in the national extract.
What type of care does KIMECIA H TAYLOR provide?
KIMECIA H TAYLOR's profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIMECIA H TAYLOR?
KIMECIA H TAYLOR is associated with Memphis, Tennessee in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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