TAYLOR JOHNSON AGACNP-BC
NPI 1720963457
Nurse Practitioner - Gerontology in Dallas, TX

Q: What is Taylor Johnson's NPI number?

The NPI number for Taylor Johnson is 1720963457. It was assigned to this individual provider in the NPPES registry on August 11, 2025.

Q: What is Taylor Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Johnson was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 11, 2025PECOS Enrolled

221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2025, Aug 11, 2025 (2 updates tracked since 2025).

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About Taylor Johnson Agacnp-bc NPPES

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

TAYLOR JOHNSON AGACNP-BC (NPI 1720963457) is an individual gerontology provider in Dallas, Texas, licensed in Texas (1211539) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720963457

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameTAYLOR JOHNSONCredential: AGACNP-BC

Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312

Mailing Address5605 N Macarthur Blvd Ste 740Irving, TX 75038-2626 · (214) 960-5681

Phone(214) 960-5681

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 11, 2025

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1720963457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · 1211539

Also ListedRegistered NurseTaxonomy 163W00000X · License 892742 (TX)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1211539 (TX)

221 W COLORADO BLVD STE 525, Dallas, TX 75208

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Secondary Practice Locations 3

Location 11441 N Beckley AveDallas, TX 75203-1201 · Phone (247) 951-5767

Location 23500 W Wheatland RdDallas, TX 75237-3460 · Phone (247) 951-5767

Location 32700 E Broad StMansfield, TX 76063-5899 · Phone (247) 951-5767

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 Johnson Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446737597

PECOS Enrollment IDI20260121001311

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 75208 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

JACQUELINE NICOLE HORST M.D.

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