DEREK J. TAYLOR PA-C
NPI 1093111304
Physician Assistant in Mesa, AZ
About Derek J. Taylor Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK J. TAYLOR PA-C (NPI 1093111304) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (5941) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Derek J. Taylor Pa-c 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MESA, AZ 85215
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 Derek Taylor's NPI number?
The NPI number for Derek Taylor is 1093111304. It was assigned to this individual provider in the NPPES registry on November 13, 2014.
Where is Derek Taylor located?
Derek Taylor practices at 4320 E. Presidio Street #101, Mesa, AZ 85215. The listed phone number is (480) 706-9430.
What is Derek Taylor's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Derek Taylor enrolled in Medicare?
Yes. Derek 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 Derek Taylor was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Derek J. Taylor, PA-C · NPI 1093111304
Physician Assistant physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since November 13, 2014.
## Identity
- **NPI:** 1093111304 (Entity type: Individual)
- **Enumerated:** November 13, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5941 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4320 E. PRESIDIO STREET #101, Mesa, AZ 85215-3031
- **Phone:** (480) 706-9430 · **Fax:** (480) 378-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 19, 2018
- **Other identifiers:** Medicaid 983703 (AZ)
---
Source: [NPI Profile](https://npiprofile.com/npi/1093111304) · Data from the CMS NPPES public registry.