TAYLOR RAE ROOT
NPI 1396377883
Physician Assistant in Green Bay, WI
About Taylor Rae Root NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR RAE ROOT (NPI 1396377883) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (5382) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Bay Area Medical Center, and maintains a secondary practice location in Mount Pleasant.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Taylor Rae Root 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bay Area Medical Center
Acute Care Hospitals · Marinette, WIAurora Baycare Medical Ctr
Acute Care Hospitals · Green Bay, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREEN BAY, WI 54311
GREEN BAY, WI 54311
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 Root's NPI number?
The NPI number for Taylor Root is 1396377883. It was assigned to this individual provider in the NPPES registry on February 12, 2020.
Where is Taylor Root located?
Taylor Root practices at 1110 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 288-5555.
What is Taylor Root's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Taylor Root enrolled in Medicare?
Yes. Taylor Root 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 Root accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Quartz and Security Health Plan and 1 other insurer list Taylor Root 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 Root affiliated with any hospitals?
According to CMS data, Taylor Root is affiliated with Bay Area Medical Center and Aurora Baycare Medical Ctr.
When was this NPI record last updated?
The NPPES record for Taylor Root was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Taylor Rae Root · NPI 1396377883
Physician Assistant physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since February 12, 2020.
## Identity
- **NPI:** 1396377883 (Entity type: Individual)
- **Enumerated:** February 12, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 5382 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1110 KEPLER DR, Green Bay, WI 54311-8306
- **Phone:** (920) 288-5555 · **Fax:** (920) 288-5550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1396377883) · Data from the CMS NPPES public registry.