JENNIFER MICHELLE TAYLOR (PA-C) – Physician Assistant, NPI 1609397835

JENNIFER MICHELLE TAYLOR (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. 0110-005805 (VA). The NPI Number for JENNIFER MICHELLE TAYLOR (PA-C) is 1609397835

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MICHELLE TAYLOR (PA-C)
NPI
1609397835
Phone
(757) 821-2825
Address
2075 Glenn Mitchell Dr Ste 300
Enumeration Date
28 June 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
7573542885
Graduation Year
2017 (9 years ago)
PAC ID
1254604499
Group Practice PAC ID
6103288170
Professional Enrollment ID
I20170908002846
Address ID
VA23502XXXXNOXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for JENNIFER MICHELLE TAYLOR (PA-C)

  • 2075 Glenn Mitchell Dr Ste 300

    Virginia Beach, VA 234560179

    Phone: (757) 821-2825

    Fax: (757) 213-9377

    Type: Location

  • 612 Kingsborough Sq Ste 100

    Chesapeake, VA 233205041

    Phone: (757) 547-9294

    Fax: (757) 213-9342

    Type: Location

  • 413, Park Manor Road, Lamper Place, Portsmouth, Virginia, 23701, United States

    PORTSMOUTH, VA 237011125

    Phone: (757) 927-2222

    Type: Mailing

  • 1708, Old Donation Parkway, Linkhorn, Virginia Beach, Virginia, 23454, United States

    VIRGINIA BEACH, VA 234543064

    Phone: (757) 419-3000

    Fax: (757) 213-9377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,129.

Total Amount is formed as General ($1,129) + Research ($0) + Ownership ($0) = $1,129.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: ABBVIE INC. ($359).

Total Amount

$1,129

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

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: 2017-09-08

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
I20170908002846IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes326215$0
99213Established patient office or other outpatient visit, 20-29 minutes230146$0
36415Insertion of needle into vein for collection of blood sample153109$0
99497Advance care planning, first 30 minutes7979$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7373$0
View full utilization report →

Insurance plans in this area (ZIP 23456)

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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: 6103288170View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerOH
Clinical Social WorkerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

How is JENNIFER MICHELLE TAYLOR (PA-C) identified in CMS data?
CMS-hosted NPPES data lists JENNIFER MICHELLE TAYLOR (PA-C) with NPI 1609397835.
Is JENNIFER MICHELLE TAYLOR (PA-C) still practicing?
JENNIFER MICHELLE TAYLOR (PA-C) is currently listed as active in the public NPI registry.
What is JENNIFER MICHELLE TAYLOR (PA-C) best known for clinically?
Directory data describes JENNIFER MICHELLE TAYLOR (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER MICHELLE TAYLOR (PA-C) on a map?
Expect Virginia Beach, Virginia as a primary anchor for JENNIFER MICHELLE TAYLOR (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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