SHANNON V. TAYLOR PA-C
NPI 1265412084
Physician Assistant - Medical in Rockford, IL

Q: What is Shannon Taylor's NPI number?

The NPI number for Shannon Taylor is 1265412084. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Shannon Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Taylor was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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 January 18, 2006PECOS Enrolled

698 FEATHERSTONE RD, ROCKFORD, IL 61107(815) 398-3277(815) 484-7001 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shannon V. Taylor Pa-c NPPES

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

SHANNON V. TAYLOR PA-C (NPI 1265412084) is an individual medical provider in Rockford, Illinois, licensed in Illinois (085001215) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265412084

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSHANNON V. TAYLORCredential: PA-C

Location Address698 FEATHERSTONE RDRockford, IL 61107-6303

Mailing Address698 Featherstone RdRockford, IL 61107-6303 · (815) 398-3277 · Fax (815) 484-7001

Phone(815) 398-3277

Fax(815) 484-7001

Sole ProprietorNo

Enumeration DateJanuary 18, 2006

Last NPPES UpdateSeptember 21, 2011

✔ NPI 1265412084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085001215

698 FEATHERSTONE RD, Rockford, IL 61107

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified585530IL

Medicare PINK45229

Medicare UPINS79072IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon V. Taylor Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. ARPANA BROOR MATHUR MD

Family Medicine

698 FEATHERSTONE RD, SUITE 250
ROCKFORD, IL 61107

Winnebago County (815) 399-4404

ALBERT W. HUDSON MD

Dermatology (Dermatopathology)