JENNA TAYLOR (FNP) – Family Nurse Practitioner, NPI 1023725744

JENNA TAYLOR (FNP) is a healthcare provider. based in Bloomington, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 13266-33 (WI). The NPI Number for JENNA TAYLOR (FNP) is 1023725744

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JENNA TAYLOR (FNP)
NPI
1023725744
Phone
(608) 994-3812
Address
PO BOX 371
Enumeration Date
2 November 2022
Last Update Date
4 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
0648640490
Group Practice PAC ID
7618861618
Professional Enrollment ID
I20230112000709
Address ID
WI535811900RI333XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for JENNA TAYLOR (FNP)

  • PO BOX 371

    BLOOMINGTON, WI 538040371

    Phone: (608) 994-3812

    Type: Mailing

  • 333 E 2ND ST

    RICHLAND CENTER, WI 535811914

    Phone: (608) 647-6321

    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: 2023-01-12

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
I20230112000709INurse PractitionerWITBD

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 53804)

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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: 7618861618View full group profile
NameSpecialtyState
-WI
Diagnostic RadiologyWI
General SurgeryWI
Certified Registered Nurse Anesthetist (Crna)IL
-WI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
Diagnostic RadiologyWI
Family PracticeWI
-WI

Reviews

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Frequently asked questions

Does JENNA TAYLOR (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JENNA TAYLOR (FNP) uses 1023725744.
Does CMS list JENNA TAYLOR (FNP) as active?
Yes — JENNA TAYLOR (FNP) is active in the NPI listing used on this page.
What is JENNA TAYLOR (FNP)'s specialty?
The listing groups JENNA TAYLOR (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JENNA TAYLOR (FNP) list a practice location?
Patients near Bloomington, Wisconsin may find JENNA TAYLOR (FNP) in results; validate coverage separately.
Why does JENNA TAYLOR (FNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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