CHAMEKA I TAYLOR NURSE PRACTITIONER
NPI 1104597525
Nurse Practitioner - Family in Portland, OR

Q: What is Chameka Taylor's NPI number?

The NPI number for Chameka Taylor is 1104597525. It was assigned to this individual provider in the NPPES registry on September 24, 2021. The provider is also known as Chameka I Taylor Np.

Q: What is Chameka 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 Chameka Taylor was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since September 24, 2021PECOS EnrolledAccepts Medicare Assignment

5329 NE MLK JR BLVD, PORTLAND, OR 97211(503) 988-5558 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Sep 24, 2021 (2 updates tracked since 2021).

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About Chameka I Taylor Nurse Practitioner NPPES

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

CHAMEKA I TAYLOR NURSE PRACTITIONER (NPI 1104597525) is an individual family provider in Portland, Oregon, licensed in Oregon (202202706NP-PP) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104597525

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCHAMEKA I TAYLORCredential: NURSE PRACTITIONER

Location Address5329 NE MLK JR BLVDPortland, OR 97211-3237

Mailing AddressPo Box 17742Memphis, TN 38187-0742 · (901) 326-9472

Phone(503) 988-5558

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 24, 2021

Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1104597525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in OR · 202202706NP-PP✔ Licensed in TN · 30579

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 202202706NP-PP (OR)

5329 NE MLK JR BLVD, Portland, OR 97211

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Other Names 1

Professional Name (2)Chameka I Taylor Np

Secondary Practice Locations 2

Location 1308 Lake DrSomerville, TN 38068-9716 · Phone (731) 394-1145

Location 25821 Park Ave Unit 17742Memphis, TN 38187-0090 · Phone (901) 326-9472

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

Chameka I Taylor Nurse Practitioner 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 ID941690069

PECOS Enrollment IDI20220913003705, I20260102003584

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 97211 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

2 suppliers12 claims4,156 services$0.34 avg. paid by Medicare

Hospital bed, fixed height, with any type side rails, with mattress E0250

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$37.93 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers32 claims32 services$21.49 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$25.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

FETUAO TURNER PHARMD

Pharmacist

5329 NE MLK JR BLVD, SECOND FLOOR/PHARMACY
PORTLAND, OR 97211

Multnomah County (503) 988-3634

DIANNE CLAY

Doula