ANGENETTE SHANE TAYLOR CNP
NPI 1760081871
Nurse Practitioner - Gerontology in Dallas, TX

Active since October 20, 2020PECOS EnrolledAccepts Medicare Assignment
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244(972) 715-3800 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angenette Shane Taylor Cnp NPPES

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

ANGENETTE SHANE TAYLOR CNP (NPI 1760081871) is an individual gerontology provider in Dallas, Texas, licensed in Michigan (4704250947) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lawrenceville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760081871
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameANGENETTE SHANE TAYLORCredential: CNP
Location Address4055 VALLEY VIEW LN STE 700Dallas, TX 75244-5045
Mailing Address4055 Valley View Ln Ste 400Dallas, TX 75244-5071 · (972) 715-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 20, 2020
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1760081871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses Licensed in MI · 4704250947 Licensed in GA · RN156114
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 4704250947 (MI)
4055 VALLEY VIEW LN STE 700, Dallas, TX 75244

Secondary Practice Location 1

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-3294 · Fax (678) 312-3282

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angenette Shane Taylor Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517373947
PECOS Enrollment IDI20220620001339
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75244 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.

Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Nurse Practitioner
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Nurse Practitioner
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Nurse Practitioner
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244
Nurse Practitioner (Family)
4055 VALLEY VIEW LN STE 700
DALLAS, TX 75244

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 Angenette Taylor's NPI number?

The NPI number for Angenette Taylor is 1760081871. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Angenette Taylor located?

Angenette Taylor practices at 4055 Valley View Ln Ste 700, Dallas, TX 75244. The listed phone number is (972) 715-3800.

What is Angenette Taylor's specialty?

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

Is Angenette Taylor enrolled in Medicare?

Yes. Angenette Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angenette Taylor was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.