MS. TAYLOR LYNN DERRICO PA-C
NPI 1164945218
Physician Assistant - Surgical in Jackson, MS

Active since July 20, 2017PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
501 MARSHALL ST STE 104, JACKSON, MS 39202(601) 969-6404(601) 973-4541 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2025, May 19, 2021, May 11, 2021 and 2 more (5 updates tracked since 2017).

About Ms. Taylor Lynn Derrico Pa-c NPPES

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

MS. TAYLOR LYNN DERRICO PA-C (NPI 1164945218) is an individual surgical provider in Jackson, Mississippi, licensed in Mississippi (PA00457) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164945218
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. TAYLOR LYNN DERRICOCredential: PA-C
Location Address501 MARSHALL ST STE 104Jackson, MS 39202-1663
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · Fax (901) 227-8591
Fax(601) 973-4541
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2017
Last NPPES UpdateNovember 13, 20255 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
NPI 1164945218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MS · PA00457
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA00457 (MS)
501 MARSHALL ST STE 104, Jackson, MS 39202

Accepted 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

Ms. Taylor Lynn Derrico 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.

PECOS PAC ID6800137647
PECOS Enrollment IDI20200305000237
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.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

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.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Internal Medicine (Interventional Cardiology)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Nurse Practitioner (Family)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Nurse Practitioner (Acute Care)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Physician Assistant
501 MARSHALL ST STE 104
JACKSON, MS 39202
Student in an Organized Health Care Education/Training Program
501 MARSHALL ST STE 104
JACKSON, MS 39202
Nurse Practitioner (Family)
501 MARSHALL ST STE 104
JACKSON, MS 39202
Internal Medicine (Cardiovascular Disease)
501 MARSHALL ST STE 104
JACKSON, MS 39202

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 Derrico's NPI number?

The NPI number for Taylor Derrico is 1164945218. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Taylor Derrico located?

Taylor Derrico practices at 501 Marshall St Ste 104, Jackson, MS 39202. The listed phone number is (601) 969-6404.

What is Taylor Derrico's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Taylor Derrico enrolled in Medicare?

Yes. Taylor Derrico 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 Derrico accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc. and Oscar Insurance Company list Taylor Derrico 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 Derrico affiliated with any hospitals?

According to CMS data, Taylor Derrico is affiliated with Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Taylor Derrico was last updated on November 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.