TAYLOR FANCHER (APRN, PMHNP) – Psychiatry Physician, NPI 1962966085
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for TAYLOR FANCHER (APRN, PMHNP)
21907 64th Ave W Ste 200
Mountlake Terrace, WA 980436200
Phone: (425) 640-7009
Fax: (214) 472-2872
Type: Location
Lafayette Street, The Stockade, Schenectady, Schenectady County, New York, 12305, United States
NEW YORK, NY 100134116
Phone: (212) 369-6757
Type: Location
West 77th Street, Upper West Side, Manhattan Community Board 7, Manhattan, New York County, New York, 10024, United States
NEW YORK, NY 100246922
Phone: (936) 552-9909
Type: Mailing
1207 S WHITE CHAPEL BLVD STE 260
SOUTHLAKE, TX 760929344
Phone: (214) 267-9405
Fax: (214) 472-2872
Type: Location
21907 64TH AVE W STE 200
MOUNTLAKE TERRACE, WA 980436200
Phone: (425) 640-7009
Type: Location
100 N HOWARD ST STE R
SPOKANE, WA 992010508
Phone: (214) 267-9405
Fax: (214) 472-2872
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Inari Medical, Inc. ($122).
Total Amount
$122
General + Research + Ownership
Payments
5
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $122 |
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: 2021-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210330002123 | 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 98043)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MN | |
| Clinical Social Worker | UT | |
| Clinical Social Worker | WA | |
| - | WA | |
| - | CA | |
| Nurse Practitioner | WA | |
| Mental Health Counselor | WA | |
| Nurse Practitioner | OR | |
| - | WA | |
| - | WA |
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