MRS. TIESHA TAYLOR-DUCKER PMHNP-BC
NPI 1467312579
Nurse Practitioner - Psychiatric/Mental Health in Champaign, IL

Q: What is Tiesha Taylor-ducker's NPI number?

The NPI number for Tiesha Taylor-ducker is 1467312579. It was assigned to this individual provider in the NPPES registry on November 12, 2025. The provider is also known as Tiesha Taylor Pmhnp-Bc.

Q: What is Tiesha Taylor-ducker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 12, 2025PECOS Enrolled

819 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 356-1558 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Nov 12, 2025 (2 updates tracked since 2025).

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About Mrs. Tiesha Taylor-ducker Pmhnp-bc NPPES

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

MRS. TIESHA TAYLOR-DUCKER PMHNP-BC (NPI 1467312579) is an individual psychiatric/mental health provider in Champaign, Illinois, licensed in Illinois (2025000570) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467312579

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. TIESHA TAYLOR-DUCKERCredential: PMHNP-BC

Location Address819 BLOOMINGTON RDChampaign, IL 61820-2101

Mailing Address5616 Colgate LnMatteson, IL 60443-1509 · (217) 356-1558

Phone(217) 356-1558

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 12, 2025

Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2026

✔ NPI 1467312579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 2025000570

819 BLOOMINGTON RD, Champaign, IL 61820

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Other Names 1

Professional Name (2)Tiesha Taylor Pmhnp-bc

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. Tiesha Taylor-ducker Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153817218

PECOS Enrollment IDI20251229001932

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 61820 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

JESSICA LYNN MANDRELL

Nurse Practitioner (Psychiatric/Mental Health)