TAYLOR RAE PARK NP
NPI 1780454389
Nurse Practitioner in Florissant, MO
About Taylor Rae Park Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR RAE PARK NP (NPI 1780454389) is an individual nurse practitioner in Florissant, Missouri, licensed in Missouri (2023037394) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jerseyville, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Taylor Rae Park Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Taylor Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63144
- Reassigned Medicare billing, Missouri and Illinois enrollments
- Also billed through NPI 1629692785 (Illinois)
- 61 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 611 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 63031 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLORISSANT, MO 63031
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 Park's NPI number?
The NPI number for Taylor Park is 1780454389. It was assigned to this individual provider in the NPPES registry on January 4, 2024.
Where is Taylor Park located?
Taylor Park practices at 1225 Graham Rd Ste C-1340, Florissant, MO 63031. The listed phone number is (314) 953-8271.
What is Taylor Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Taylor Park enrolled in Medicare?
Yes. Taylor Park 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.
Which organizations bill Medicare for Taylor Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Park reassigns Medicare benefits to 2 organizations: Vpa PC (Saint Louis, MO) and Physician Groups Lc (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 Taylor Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Taylor Park accept?
Health plans from UnitedHealthcare list Taylor Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Taylor Park was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Taylor Rae Park, NP · NPI 1780454389
Nurse Practitioner physician in Florissant, Missouri. Individual provider, active in the CMS NPPES registry since January 4, 2024.
## Identity
- **NPI:** 1780454389 (Entity type: Individual)
- **Enumerated:** January 4, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2023037394 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 GRAHAM RD STE C-1340, Florissant, MO 63031-8019
- **Phone:** (314) 953-8271
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vpa PC (NPI 1073130142, Saint Louis, MO); Physician Groups Lc (NPI 1285664268, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 17, 2025
- **Other identifiers:** Other 209029415 (IL); Other 16161910
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Source: [NPI Profile](https://npiprofile.com/npi/1780454389) · Data from the CMS NPPES public registry.