CARLY JO TAYLOR CPNP-AC
NPI 1457239089
Nurse Practitioner - Pediatrics, Critical Care in Dayton, OH

Q: What is Carly Taylor's NPI number?

The NPI number for Carly Taylor is 1457239089. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Q: What is Carly Taylor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Carly Taylor was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 22, 2025PECOS Enrolled

1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3600(937) 641-5802 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carly Jo Taylor Cpnp-ac NPPES

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

CARLY JO TAYLOR CPNP-AC (NPI 1457239089) is an individual pediatrics, critical care provider in Dayton, Ohio, licensed in Ohio (APRN.CNP.0038862) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457239089

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameCARLY JO TAYLORCredential: CPNP-AC

Location Address1 CHILDRENS PLZDayton, OH 45404-1815

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129

Phone(937) 641-3600

Fax(937) 641-5802

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 22, 2025

Last NPPES UpdateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1457239089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in OH · APRN.CNP.0038862

1 CHILDRENS PLZ, Dayton, OH 45404

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Secondary Practice Locations 9

Location 13301 Dayton Xenia Rd Ste 200Beavercreek, OH 45432-2759 · Phone (937) 641-5098 · Fax (937) 912-9395

Location 23333 W Tech RdMiamisburg, OH 45342-0955 · Phone (937) 641-5725 · Fax (937) 350-3050

Location 34475 Far Hills AveKettering, OH 45429-2405 · Phone (937) 641-3141 · Fax (937) 641-3190

Location 4792 Northwoods BlvdVandalia, OH 45377-9462 · Phone (937) 641-4236 · Fax (937) 641-4237

Location 51711 Germantown PikeDayton, OH 45417 · Phone (937) 641-3142 · Fax (937) 641-4172

Location 66044 Wilmington PikeDayton, OH 45459-7006 · Phone (937) 641-3270 · Fax (937) 641-6108

Location 78501 Old Troy PikeHuber Heights, OH 45424-1054 · Phone (937) 641-4360 · Fax (937) 641-3791

Location 87787 Cox LnWest Chester, OH 45069-6549 · Phone (513) 644-8081 · Fax (513) 847-1192

Location 9662 N Main StSpringboro, OH 45066-9553 · Phone (937) 641-5066 · Fax (937) 550-9797

Other Identifiers 1

Medicaid0148195OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Jo Taylor Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880183615

PECOS Enrollment IDI20251030003644

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 45404 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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 20

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

DAYTON CHILDRENS CARDIOLOGY INC

Pediatrics (Pediatric Cardiology)