JOHN J TAXIERA AGACNP
NPI 1548717556
Nurse Practitioner - Adult Health in Philadelphia, PA
About John J Taxiera Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN J TAXIERA AGACNP (NPI 1548717556) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP017561) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John J Taxiera Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show John Taxiera reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1871981985 (Pennsylvania)
- 3,488 clinicians in this Medicare group
Galloway, NJ 08205
- Reassigned Medicare billing, New Jersey enrollment
- 921 clinicians in this Medicare group
Lakewood, NJ 08701
- Reassigned Medicare billing, New Jersey enrollment
- 9 clinicians in this Medicare group
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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.
PHILADELPHIA, PA 19104
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 John Taxiera's NPI number?
The NPI number for John Taxiera is 1548717556. It was assigned to this individual provider in the NPPES registry on September 7, 2016.
Where is John Taxiera located?
John Taxiera practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 349-8310.
What is John Taxiera's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is John Taxiera enrolled in Medicare?
Yes. John Taxiera is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Taxiera's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Taxiera reassigns Medicare benefits to 4 organizations: University Of Penn-Medical Group (Philadelphia, PA), Atlanticare Physician Group, PA (Galloway, NJ), Chronic Care Specialists Of Nj PC (Lakewood, NJ) and Ssm Health Care Group (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Taxiera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Taxiera was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# John J Taxiera, AGACNP · NPI 1548717556
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 7, 2016.
## Identity
- **NPI:** 1548717556 (Entity type: Individual)
- **Enumerated:** September 7, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP017561 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 N 39TH ST, Philadelphia, PA 19104-2640
- **Phone:** (215) 349-8310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1083002000, Philadelphia, PA); Atlanticare Physician Group, PA (NPI 1003820622, Galloway, NJ); Chronic Care Specialists Of Nj PC (NPI 1114817020, Lakewood, NJ); Ssm Health Care Group (NPI 1306589544, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548717556) · Data from the CMS NPPES public registry.