MRS. JOAN NICHOLE TAYLOR
NPI 1053785949
Nurse Practitioner - Psychiatric/Mental Health in Oakland, CA

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
2648 INTERNATIONAL BLVD STE 153A, OAKLAND, CA 94601(510) 761-7274 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2026, Dec 9, 2025, Nov 18, 2025 and 3 more (6 updates tracked since 2015).

About Mrs. Joan Nichole Taylor NPPES

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

MRS. JOAN NICHOLE TAYLOR (NPI 1053785949) is an individual psychiatric/mental health provider in Oakland, California, licensed in California (95013107) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053785949
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. JOAN NICHOLE TAYLOR
Location Address2648 INTERNATIONAL BLVD STE 153AOakland, CA 94601-1580
Mailing Address2648 International Blvd Ste 153aOakland, CA 94601-1580
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 16, 2015
Last NPPES UpdateMay 22, 20266 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1053785949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95013107
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95013107 (CA)
2648 INTERNATIONAL BLVD STE 153A, Oakland, CA 94601

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

Mrs. Joan Nichole Taylor 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 ID1153757976
PECOS Enrollment IDI20200213002626
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services13 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Joan Taylor's NPI number?

The NPI number for Joan Taylor is 1053785949. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Joan Taylor located?

Joan Taylor practices at 2648 International Blvd Ste 153A, Oakland, CA 94601. The listed phone number is (510) 761-7274.

What is Joan Taylor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Joan Taylor enrolled in Medicare?

Yes. Joan Taylor 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.

When was this NPI record last updated?

The NPPES record for Joan Taylor was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.