TAYLOR RYENEE HONNOLL PA-C
NPI 1124743836
Physician Assistant in Modesto, CA
About Taylor Ryenee Honnoll Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR RYENEE HONNOLL PA-C (NPI 1124743836) is an individual physician assistant in Modesto, California, licensed in California (PA61667) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manteca, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Taylor Ryenee Honnoll 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Taylor Honnoll's NPI number?
The NPI number for Taylor Honnoll is 1124743836. It was assigned to this individual provider in the NPPES registry on October 5, 2022.
Where is Taylor Honnoll located?
Taylor Honnoll practices at 600 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 550-4755.
What is Taylor Honnoll's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Taylor Honnoll enrolled in Medicare?
Yes. Taylor Honnoll 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 Taylor Honnoll was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Taylor Ryenee Honnoll, PA-C · NPI 1124743836
Physician Assistant physician in Modesto, California. Individual provider, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1124743836 (Entity type: Individual)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA61667 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 COFFEE RD, Modesto, CA 95355-4201
- **Phone:** (209) 550-4755 · **Fax:** (510) 491-7522
## 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 2022
## Record status
- **NPPES last updated:** March 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124743836) · Data from the CMS NPPES public registry.