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

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: November 08, 2026.

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, is affiliated with Harper University Hospital, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Stacey Taylor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Practice Midwife
4201 SAINT ANTOINE ST, SUITE 4E&F
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 clinicians in this Medicare group
Medical Toxicology
4201 SAINT ANTOINE ST, SUITE 3R
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 83 clinicians in this Medicare group
Geriatric Medicine
7071 ORCHARD LAKE RD, SUITE 220
West Bloomfield, MI 48322
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
Physical Medicine & Rehabilitation
113 BLARNEY DR
Columbia, SC 29223
  • Reassigned Medicare billing, Michigan enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

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.

Internal Medicine (Hematology & Oncology)
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Internal Medicine (Cardiovascular Disease)
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Internal Medicine (Gastroenterology)
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Internal Medicine
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201
Nurse Practitioner
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201

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 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.

Where is Stacey Taylor located?

Stacey Taylor practices at 4201 Saint Antoine St Ste 5C, Detroit, MI 48201. The listed phone number is (313) 745-7999.

What is Stacey Taylor's specialty?

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

Is Stacey Taylor enrolled in Medicare?

Yes. Stacey 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.

Which organizations bill Medicare for Stacey Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Taylor reassigns Medicare benefits to 4 organizations: University Physician Group (Detroit, MI), Michigan Emergency Services (Detroit, MI), Murad Medical Associates PC (West Bloomfield, MI) and Physiatry And Rehabilitation Associates LLC (Columbia, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Taylor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Stacey Taylor 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 Stacey Taylor affiliated with any hospitals?

According to CMS data, Stacey Taylor is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Taylor was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.