1. Home
  2. Directory
  3. Texas
  4. San Angelo
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAYLOR LANE MITCHON
NPI 1053195057
Physician Assistant in San Angelo, TX

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment
102 N MAGDALEN ST, SAN ANGELO, TX 76903(325) 747-2193(325) 747-2038 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Nov 11, 2025, Aug 21, 2023 (3 updates tracked since 2023).

About Taylor Lane Mitchon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR LANE MITCHON (NPI 1053195057) is an individual physician assistant in San Angelo, Texas, licensed in Texas (PA19682) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and maintains a secondary practice location in Midland.

NPPES Registry Identity

NPI1053195057
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAYLOR LANE MITCHON
Location Address102 N MAGDALEN STSan Angelo, TX 76903-5400
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 747-1511
Phone(325) 747-2193
Fax(325) 747-2038
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 21, 2023
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1053195057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA19682
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
102 N MAGDALEN ST, San Angelo, TX 76903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1TTU Health Sciences Center 3600 N. GarfieldMidland, TX 79705 · Phone (361) 772-4255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor Lane Mitchon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749772291
PECOS Enrollment IDI20251122000996
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE M. HUTCHINS MD
Neurological Surgery
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
SUNHEE KIM MD
Psychiatry & Neurology (Neurology)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Tom Green County (325) 747-2041
ANDREW HUME M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
DR. JAMES L STUDT M.D.
Radiology (Radiation Oncology)
102 N MAGDALEN ST, SUITE 120
SAN ANGELO, TX 76903
Tom Green County (325) 653-2010
DR. DAVID L IVANS MD
Internal Medicine (Cardiovascular Disease)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Tom Green County (325) 481-2170
FERMIN SERNA FNP
Nurse Practitioner
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Tom Green County (325) 658-1511
MRS. CAMERON MARLANE WILSON DNP, MSN, APRN, FNP-
Nurse Practitioner (Family)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Tom Green County (325) 747-1511
TEXAS CARDIOVASCULAR CONSULTANTS-SAN ANGELO, PA
Internal Medicine (Cardiovascular Disease)
102 N MAGDALEN ST
SAN ANGELO, TX 76903
Tom Green County (800) 530-4143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Mitchon's NPI number?

The NPI number for Taylor Mitchon is 1053195057. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Taylor Mitchon located?

Taylor Mitchon practices at 102 N Magdalen St, San Angelo, TX 76903. The listed phone number is (325) 747-2193.

What is Taylor Mitchon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Taylor Mitchon enrolled in Medicare?

Yes. Taylor Mitchon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Taylor Mitchon accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Taylor Mitchon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Taylor Mitchon affiliated with any hospitals?

According to CMS data, Taylor Mitchon is affiliated with Shannon Medical Center.

When was this NPI record last updated?

The NPPES record for Taylor Mitchon was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.