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TAYLOR SUEANNE VANDIVER
NPI 1164373411
Nurse Practitioner - Family in Manchester, TN

Active since February 04, 2026PECOS EnrolledAccepts Medicare Assignment
585 INTERSTATE DR, MANCHESTER, TN 37355(937) 728-9000(931) 728-2726 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Taylor Sueanne Vandiver NPPES

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

TAYLOR SUEANNE VANDIVER (NPI 1164373411) is an individual family provider in Manchester, Tennessee, licensed in Tennessee (41060) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164373411
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAYLOR SUEANNE VANDIVER
Location Address585 INTERSTATE DRManchester, TN 37355-3190
Mailing Address585 Interstate DrManchester, TN 37355-3190 · (937) 728-9000 · Fax (931) 728-2726
Phone(937) 728-9000
Fax(931) 728-2726
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 4, 2026
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1164373411 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 TN · 41060
585 INTERSTATE DR, Manchester, TN 37355
Open in Google Maps ↗

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 Sueanne Vandiver 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 ID7012490360
PECOS Enrollment IDI20260313003456
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 37355 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 14

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

SARAH RAMSEY
Physical Therapy Assistant
585 INTERSTATE DR
MANCHESTER, TN 37355
Coffee County (931) 723-7156
VICKIE JONES CFNP
Nurse Practitioner (Family)
585 INTERSTATE DR, SUITE B
MANCHESTER, TN 37355
Coffee County (931) 728-9000
MATTHEW LEEMKUIL
Physical Therapist
585 INTERSTATE DR, STE A.
MANCHESTER, TN 37355
Coffee County (931) 723-7156
JAY MICHAEL TRUSSLER DO PC
Clinic/Center (Primary Care)
585 INTERSTATE DR, SUITE B
MANCHESTER, TN 37355
Coffee County (931) 728-9000
MRS. GRETCHEN ANN SUSSEN PTA
Physical Therapy Assistant
585 INTERSTATE DR
MANCHESTER, TN 37355
Coffee County (931) 723-7156
ANGELA RENEE GIPSON
Occupational Therapist
585 INTERSTATE DR, SUITE A
MANCHESTER, TN 37355
Coffee County (931) 723-7156
MR. JASON SANDERS ATC
Specialist/Technologist (Athletic Trainer)
585 INTERSTATE DR
MANCHESTER, TN 37355
Coffee County (931) 723-7156
MRS. KRISTEN LOVELADY ELAM FNP
Nurse Practitioner (Primary Care)
585 INTERSTATE DR, STE B
MANCHESTER, TN 37355
Coffee County (931) 728-9000

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 Vandiver's NPI number?

The NPI number for Taylor Vandiver is 1164373411. It was assigned to this individual provider in the NPPES registry on February 4, 2026.

Where is Taylor Vandiver located?

Taylor Vandiver practices at 585 Interstate Dr, Manchester, TN 37355. The listed phone number is (937) 728-9000.

What is Taylor Vandiver's specialty?

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

Is Taylor Vandiver enrolled in Medicare?

Yes. Taylor Vandiver 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 Vandiver was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.