CHAMEKA I TAYLOR (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1104597525
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,656 NURSE PRACTITIONER in TN
Provider Addresses for CHAMEKA I TAYLOR (NURSE PRACTITIONER)
308 Lake Dr
Somerville, TN 380689716
Phone: (731) 394-1145
Type: Location
5821 Park Ave Unit 17742
Memphis, TN 381870090
Phone: (901) 326-9472
Type: Location
308 LAKE DR
SOMERVILLE, TN 380689716
Phone: (731) 394-1145
Type: Location
PO BOX 17742
MEMPHIS, TN 381870742
Phone: (901) 326-9472
Type: Mailing
5329 NE MLK JR BLVD
PORTLAND, OR 972113237
Phone: (503) 988-5558
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: 2026-01-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220913003705 | I | Nurse Practitioner | OR | TBD |
| I20260102003584 | I | Nurse Practitioner | WA | TBD |
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.
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 38068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TX | |
| Clinical Psychologist | OR | |
| Mental Health Counselor | OR | |
| Mental Health Counselor | WA | |
| Clinical Psychologist | OR | |
| Clinical Social Worker | CO | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | CO | |
| Clinical Social Worker | AK | |
| Mental Health Counselor | TX |
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