1. Home
  2. Directory
  3. California
  4. Eureka
  5. Physician Assistant
  6. NPI Profile

ELLEN ESTABROOK TAYLOR PAC
NPI 1962598680
Physician Assistant - Medical in Eureka, CA

Active since October 04, 2006PECOS Enrolled
2200 TYDD ST, EUREKA, CA 95501(707) 441-1624(707) 441-1253 Get Directions Write a Review

NPPES record last updated: February 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Estabrook Taylor Pac NPPES

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

ELLEN ESTABROOK TAYLOR PAC (NPI 1962598680) is an individual medical provider in Eureka, California, licensed in California (PA11331) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962598680
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELLEN ESTABROOK TAYLORCredential: PAC
Location Address2200 TYDD STEureka, CA 95501-1284
Mailing Address670 Ninth Street, Suite 203Arcata, CA 95521 · (707) 826-8633 · Fax (707) 826-8638
Phone(707) 441-1624
Fax(707) 441-1253
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 10, 2017
✔ NPI 1962598680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA11331
2200 TYDD ST, Eureka, CA 95501
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINR23380CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Estabrook Taylor Pac 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.

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.

MS. DEBBRA MELODY HAVEN PSYD PHD
Psychologist
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
DR. MARK GREGORY ELLIS MD
Pediatrics
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 269-7051
BRANDON EDWARD TOMLIN LCSW
Social Worker (Clinical)
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
PENNY POWERS RN
Registered Nurse
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
ANGELO JOHN ALFANO FNP
Nurse Practitioner (Family)
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624
MS. SUZANNE DIETZ PNP
Nurse Practitioner
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 269-7051
DR. PIPPA ELAYNE COULTER MD, PHD
Pediatrics
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 269-7051
CELESTE MAXINE SAYLES-CROY DO
Internal Medicine (Geriatric Medicine)
2200 TYDD ST
EUREKA, CA 95501
Humboldt County (707) 441-1624

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 Ellen Taylor's NPI number?

The NPI number for Ellen Taylor is 1962598680. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Ellen Taylor located?

Ellen Taylor practices at 2200 Tydd St, Eureka, CA 95501. The listed phone number is (707) 441-1624.

What is Ellen Taylor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ellen Taylor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ellen Taylor was last updated on February 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.