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TAYLOR JOHNSON ANTONELLIS FNP-C
NPI 1144957036
Nurse Practitioner - Family in Waltham, MA

Active since August 02, 2022PECOS EnrolledAccepts Medicare Assignment
43 FOUNDRY AVE STE 110, WALTHAM, MA 02453(781) 693-3800(617) 562-1398 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2026, Aug 2, 2022 (2 updates tracked since 2022).

About Taylor Johnson Antonellis Fnp-c NPPES

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

TAYLOR JOHNSON ANTONELLIS FNP-C (NPI 1144957036) is an individual family provider in Waltham, Massachusetts, licensed in Massachusetts (RN2350068) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144957036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAYLOR JOHNSON ANTONELLISCredential: FNP-C
Location Address43 FOUNDRY AVE STE 110Waltham, MA 02453-8313
Mailing Address43 Foundry AveWaltham, MA 02453-8313 · (781) 693-3800
Phone(781) 693-3800
Fax(617) 562-1398
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 2, 2022
Last NPPES UpdateApril 10, 20262 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1144957036 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 MA · RN2350068
43 FOUNDRY AVE STE 110, Waltham, MA 02453
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Taylor Johnson Antonellis Fnp-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.

PECOS PAC ID2769850734
PECOS Enrollment IDI20221122003057
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.

Hospital Affiliations CMS Care Compare

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02453 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 2

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

CHARLES RIVER COMMUNITY HEALTH CENTER
Pharmacy (Community/Retail Pharmacy)
43 FOUNDRY AVE STE 110
WALTHAM, MA 02453
Middlesex County (781) 693-3873
CHARLES RIVER COMMUNITY HEALTH, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
43 FOUNDRY AVE STE 110
WALTHAM, MA 02453
Middlesex County (781) 693-3800

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 Antonellis's NPI number?

The NPI number for Taylor Antonellis is 1144957036. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Taylor Antonellis located?

Taylor Antonellis practices at 43 Foundry Ave Ste 110, Waltham, MA 02453. The listed phone number is (781) 693-3800.

What is Taylor Antonellis's specialty?

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

Is Taylor Antonellis enrolled in Medicare?

Yes. Taylor Antonellis 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.

What insurance does Taylor Antonellis accept?

Health plans from Anthem Blue Cross and Blue Shield list Taylor Antonellis 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 Taylor Antonellis affiliated with any hospitals?

According to CMS data, Taylor Antonellis is affiliated with Mount Auburn Hospital.

When was this NPI record last updated?

The NPPES record for Taylor Antonellis was last updated on April 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.