STACEY TAYLOR FNP
NPI 1063860914
Nurse Practitioner - Family in Detroit, MI

Q: What is Stacey Taylor's NPI number?

The NPI number for Stacey Taylor is 1063860914. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Q: What is Stacey Taylor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Taylor was last updated on October 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment

4201 SAINT ANTOINE ST STE 5C, DETROIT, MI 48201(313) 745-7999(313) 966-6400 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Stacey Taylor Fnp NPPES

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

STACEY TAYLOR FNP (NPI 1063860914) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704246188) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063860914

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSTACEY TAYLORCredential: FNP

Location Address4201 SAINT ANTOINE ST STE 5CDetroit, MI 48201-2153

Mailing Address1560 E Maple Road, Suite 400 - CredentialingTroy, MI 48083-1138 · (313) 745-7999 · Fax (313) 966-6400

Phone(313) 745-7999

Fax(313) 966-6400

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJune 1, 2016

Last NPPES UpdateOctober 29, 2021

NPPES CertifiedOctober 29, 2021

✔ NPI 1063860914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704246188

4201 SAINT ANTOINE ST STE 5C, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Stacey Taylor Fnp 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 ID8022309285

PECOS Enrollment IDI20160617000669

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

Other Providers at the Same Location NPPES 5

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

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