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MITZIE JOHNSON TAYLOR FNP-BC
NPI 1124832688
Nurse Practitioner - Family in Ft Lauderdale, FL

Active since February 05, 2025PECOS Enrolled
3300 S UNIVERSITY DR, FT LAUDERDALE, FL 33328(754) 224-9865 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitzie Johnson Taylor Fnp-bc NPPES

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

MITZIE JOHNSON TAYLOR FNP-BC (NPI 1124832688) is an individual family provider in Ft Lauderdale, Florida, licensed in Florida (11037479) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124832688
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMITZIE JOHNSON TAYLORCredential: FNP-BC
Location Address3300 S UNIVERSITY DRFt Lauderdale, FL 33328-2004
Mailing Address11962 Sw Paradise River RdPort St Lucie, FL 34987-7762 · (754) 224-9865
Phone(754) 224-9865
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 3, 2025
✔ NPI 1124832688 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 FL · 11037479
3300 S UNIVERSITY DR, Ft Lauderdale, FL 33328
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitzie Johnson Taylor Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42791733
PECOS Enrollment IDI20260220001375
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 33328 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

VASIM RAJA PANWAR
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (954) 262-7500
YEVGENIY KHAN
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (800) 541-6682
COLLEEN SHANNA LEE BLAKE-BRAMWELL
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (954) 262-4550
CARMEN SOFIA RAMOS NEGRON
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (800) 541-6682
ISMAEL ABUSAMRA
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (571) 331-4800
DR. ALEX MICHAEL JOHNSON OD
Optometrist
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (800) 541-6682
LUIS A PEREZ
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (787) 420-1134
CORALYS MUNOZ GARCES
Student in an Organized Health Care Education/Training Program
3300 S UNIVERSITY DR
FT LAUDERDALE, FL 33328
Broward County (800) 541-6682

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 Mitzie Johnson Taylor's NPI number?

The NPI number for Mitzie Johnson Taylor is 1124832688. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Mitzie Johnson Taylor located?

Mitzie Johnson Taylor practices at 3300 S University Dr, Ft Lauderdale, FL 33328. The listed phone number is (754) 224-9865.

What is Mitzie Johnson Taylor's specialty?

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

Is Mitzie Johnson Taylor enrolled in Medicare?

Yes. Mitzie Johnson Taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitzie Johnson Taylor was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.