TAYTUM RAE VERMILYEA PA-C
NPI 1295573434
Physician Assistant in Prescott, AZ

Q: What is Taytum Vermilyea's NPI number?

The NPI number for Taytum Vermilyea is 1295573434. It was assigned to this individual provider in the NPPES registry on July 19, 2024. The provider is also known as Taytum Rae Mikkelson PA.

Q: What is Taytum Vermilyea'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 Taytum Vermilyea was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 19, 2024PECOS EnrolledAccepts Medicare Assignment

1050 GAIL GARDNER WAY STE 300, PRESCOTT, AZ 86305(928) 717-5232(928) 717-5238 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Oct 11, 2024, Sep 24, 2024 and 2 more (5 updates tracked since 2024).

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About Taytum Rae Vermilyea Pa-c NPPES

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

TAYTUM RAE VERMILYEA PA-C (NPI 1295573434) is an individual physician assistant in Prescott, Arizona, licensed in Arizona (10488) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chino Valley, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295573434

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAYTUM RAE VERMILYEACredential: PA-C

Location Address1050 GAIL GARDNER WAY STE 300Prescott, AZ 86305-1640

Mailing AddressPo Box 10880Prescott, AZ 86304-0880 · (602) 406-4786 · Fax (916) 636-4358

Phone(928) 717-5232

Fax(928) 717-5238

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 19, 2024

Last NPPES UpdateApril 8, 20265 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1295573434 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 AZ · 10488

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.

1050 GAIL GARDNER WAY STE 300, Prescott, AZ 86305

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Other Names 1

Former Name (1)Taytum Rae Mikkelson Pa

Secondary Practice Location 1

Location 187 S State Route 89Chino Valley, AZ 86323-5687 · Phone (928) 404-1488 · Fax (866) 232-8580

Other Identifiers 1

Medicaid187380AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

Taytum Rae Vermilyea 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 ID3476090622

PECOS Enrollment IDI20240806000335

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

62 services42 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

38 services16 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

20 services20 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

18 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

17 services17 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 9

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

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