MRS. TAYLOR KANE RICKENBAKER (PA-C) – Surgical Physician Assistant, NPI 1033450010

MRS. TAYLOR KANE RICKENBAKER (PA-C) is a healthcare provider. based in Virginia beach, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110007929 (VA). The NPI Number for MRS. TAYLOR KANE RICKENBAKER (PA-C) is 1033450010

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAYLOR KANE RICKENBAKER (PA-C)
NPI
1033450010
Phone
(229) 291-1727
Address
144 S GUM AVE
Enumeration Date
15 March 2013
Last Update Date
19 January 2022

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7575074123
Graduation Year
2021 (5 years ago)
PAC ID
5799183885
Group Practice PAC ID
8921903923
Professional Enrollment ID
I20211004001642
Address ID
VA234560178VI2025XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for MRS. TAYLOR KANE RICKENBAKER (PA-C)

  • 144 S GUM AVE

    VIRGINIA BEACH, VA 234521221

    Phone: (229) 291-1727

    Type: Mailing

  • 397 Little Neck Rd Ste 120

    Virginia Beach, VA 234525774

    Phone: (757) 395-1600

    Fax: (757) 961-9359

    Type: Location

  • 700 W OLNEY RD

    NORFOLK, VA 235071607

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,512.

Total Amount is formed as General ($1,512) + Research ($0) + Ownership ($0) = $1,512.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Medtronic, Inc. ($355).

Total Amount

$1,512

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2021-10-04

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
I20211004001642IPhysician AssistantVATBD

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
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1714$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 23452)

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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: 8921903923View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineVA
Nurse PractitionerVA
-MI
-VA
-VA
Pulmonary Disease, Internal MedicineGA
N E U R O L O G YVA
Physician AssistantVA
-VA
Family PracticeVA

Reviews

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Frequently asked questions

Is MRS. TAYLOR KANE RICKENBAKER (PA-C) listed with a National Provider Identifier?
Yes — MRS. TAYLOR KANE RICKENBAKER (PA-C) has NPI 1033450010 on file in the registry.
Would MRS. TAYLOR KANE RICKENBAKER (PA-C) appear as active to a payer?
You can treat MRS. TAYLOR KANE RICKENBAKER (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. TAYLOR KANE RICKENBAKER (PA-C)?
MRS. TAYLOR KANE RICKENBAKER (PA-C)'s specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. TAYLOR KANE RICKENBAKER (PA-C) associated with Virginia Beach?
Public fields place MRS. TAYLOR KANE RICKENBAKER (PA-C) around Virginia Beach, Virginia. Always confirm the exact site before visiting.
Can I trust this NPI listing for MRS. TAYLOR KANE RICKENBAKER (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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