TAYLOR BEAVENS MD
NPI 1801536677
Pediatrics in Minneapolis, MN
About Taylor Beavens Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR BEAVENS MD (NPI 1801536677) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (799-09) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Taylor Beavens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Taylor Beavens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 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 55404 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.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
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 Beavens's NPI number?
The NPI number for Taylor Beavens is 1801536677. It was assigned to this individual provider in the NPPES registry on March 30, 2022. The provider is also known as Taylor Mattice MD.
Where is Taylor Beavens located?
Taylor Beavens practices at 2525 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (651) 220-6000.
What is Taylor Beavens's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Taylor Beavens enrolled in Medicare?
Yes. Taylor Beavens is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Taylor Beavens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Beavens reassigns Medicare benefits to Childrens Health Care (Minneapolis, MN). The 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 Beavens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Taylor Beavens was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Beavens, MD · NPI 1801536677
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 30, 2022.
## Identity
- **NPI:** 1801536677 (Entity type: Individual)
- **Enumerated:** March 30, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 799-09 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2525 CHICAGO AVE, Minneapolis, MN 55404-4518
- **Phone:** (651) 220-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care (NPI 1053410928, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** May 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801536677) · Data from the CMS NPPES public registry.