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TAYLOR BODEN MMS, RD, PA-C
NPI 1740803238
Physician Assistant in Chicago, IL

Active since May 19, 2020PECOS Enrolled
259 E ERIE ST STE 2020, CHICAGO, IL 60611(312) 695-6647(312) 695-0044 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2024, Apr 5, 2021, Mar 30, 2021 and 1 more (4 updates tracked since 2020).

About Taylor Boden Mms, Rd, Pa-c NPPES

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

TAYLOR BODEN MMS, RD, PA-C (NPI 1740803238) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740803238
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAYLOR BODENCredential: MMS, RD, PA-C
Location Address259 E ERIE ST STE 2020Chicago, IL 60611-2994
Mailing Address259 E Erie St Ste 2020Chicago, IL 60611-2994 · (312) 695-6647 · Fax (312) 695-0044
Phone(312) 695-6647
Fax(312) 695-0044
Sole ProprietorNo
Enumeration DateMay 19, 2020
Last NPPES UpdateNovember 21, 20244 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1740803238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
259 E ERIE ST STE 2020, Chicago, IL 60611
Open in Google Maps ↗

Other Identifiers 1

Medicaid300041213IN

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 Boden Mms, Rd, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 2

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

KELLY BEYER PA-C
Physician Assistant
259 E ERIE ST STE 2020
CHICAGO, IL 60611
Cook County (312) 695-6647
SIMON S YOO MD
Dermatology (MOHS-Micrographic Surgery)
259 E ERIE ST STE 2020
CHICAGO, IL 60611
Cook County (312) 695-6647

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 Boden's NPI number?

The NPI number for Taylor Boden is 1740803238. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Taylor Boden located?

Taylor Boden practices at 259 E Erie St Ste 2020, Chicago, IL 60611. The listed phone number is (312) 695-6647.

What is Taylor Boden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Taylor Boden enrolled in Medicare?

Yes. Taylor Boden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Boden was last updated on November 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.