TAYLOR BROOKE SPRUELL PA
NPI 1558079186
Physician Assistant in Saint Louis, MO
About Taylor Brooke Spruell Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR BROOKE SPRUELL PA (NPI 1558079186) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2022049204) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake St Louis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taylor Brooke Spruell Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63128 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.
SAINT LOUIS, MO 63128
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 Spruell's NPI number?
The NPI number for Taylor Spruell is 1558079186. It was assigned to this individual provider in the NPPES registry on November 14, 2022.
Where is Taylor Spruell located?
Taylor Spruell practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1906.
What is Taylor Spruell's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Taylor Spruell enrolled in Medicare?
Yes. Taylor Spruell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Taylor Spruell was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 Brooke Spruell, PA · NPI 1558079186
Physician Assistant physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since November 14, 2022.
## Identity
- **NPI:** 1558079186 (Entity type: Individual)
- **Enumerated:** November 14, 2022
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 2022049204 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 10010 KENNERLY RD, Saint Louis, MO 63128-2106
- **Phone:** (314) 525-1906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1558079186) · Data from the CMS NPPES public registry.