MRS. ANDREA TAYLOR PA
NPI 1205671914
Physician Assistant in Fayetteville, NC

Q: What is Andrea Taylor's NPI number?

The NPI number for Andrea Taylor is 1205671914. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Q: What is Andrea Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Taylor was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 26, 2024PECOS Enrolled

3650 CAPE CENTER DR, FAYETTEVILLE, NC 28304(910) 483-0049(910) 339-8905 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 5, 2025, Oct 1, 2024, Sep 6, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Mrs. Andrea Taylor Pa NPPES

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

MRS. ANDREA TAYLOR PA (NPI 1205671914) is an individual physician assistant in Fayetteville, North Carolina, licensed in North Carolina (0010-15401) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1205671914

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. ANDREA TAYLORCredential: PA

Location Address3650 CAPE CENTER DRFayetteville, NC 28304-2139

Mailing Address864 Satinwood CtFayetteville, NC 28312-8110 · (636) 696-3579

Phone(910) 483-0049

Fax(910) 339-8905

Sole ProprietorNo

Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2024

Enumeration DateJune 26, 2024

Last NPPES UpdateDecember 5, 20254 updates tracked since enumeration

NPPES CertifiedDecember 5, 2025

✔ NPI 1205671914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-15401

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3650 CAPE CENTER DR, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 11 Barnes Jewish Hospital Plz, Dept AnesthesiologySaint Louis, MO 63110-1003 · Phone (800) 862-9980 · Fax (314) 362-1185

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea Taylor Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628518123

PECOS Enrollment IDI20251020000256

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 28304 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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 12

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

FERNCREEK CARDIOLOGY PA

Internal Medicine (Cardiovascular Disease)