DR. LISA K TAYLOR MD
NPI 1962640920
Pediatrics - Pediatric Endocrinology in Boise, ID

Q: What is Lisa Taylor's NPI number?

The NPI number for Lisa Taylor is 1962640920. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Q: What is Lisa Taylor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Taylor was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 29, 2009PECOS Enrolled

222 N 2ND ST, SUITE 215, BOISE, ID 83702(208) 381-7340 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Lisa K Taylor Md NPPES

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

DR. LISA K TAYLOR MD (NPI 1962640920) is an individual pediatric endocrinology provider in Boise, Idaho, licensed in Idaho (M-12566) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962640920

Entity TypeIndividualFemale

Primary Taxonomy2080P0205X

Provider Legal NameDR. LISA K TAYLORCredential: MD

Location Address222 N 2ND ST, SUITE 215Boise, ID 83702-6109

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222

Phone(208) 381-7340

Sole ProprietorNo

Enumeration DateJanuary 29, 2009

Last NPPES UpdateDecember 21, 2021

✔ NPI 1962640920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in ID · M-12566

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedPediatricsTaxonomy 208000000X · License A106188 (CA)

222 N 2ND ST, Boise, ID 83702

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Other Identifiers 1

Medicaid1962640920ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa K Taylor Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

469 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 83702 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

JAMES R SWARTLEY MD

Ophthalmology

222 N 2ND ST, SUITE 215
BOISE, ID 83702

Ada County (208) 342-2706

JASON A KEMP MD

Surgery

222 N 2ND ST, SUITE 202
BOISE, ID 83702

Ada County (208) 381-6390

PAMELA FIELDS NURSE PRACTITIONER PA

Nurse Practitioner (Family)

222 N 2ND ST, SUITE 202
BOISE, ID 83702

Ada County (208) 344-6080

LEMP'S APOTHECARY, INC.

Pharmacist

222 N 2ND ST, SUITE 101
BOISE, ID 83702

Ada County (208) 342-5691

ELIZABETH R LIVINGSTON MD

Surgery

222 N 2ND ST, SUITE 111
BOISE, ID 83702

Ada County (208) 381-3915

ANKLE & FOOT MEDICAL CENTER PC

Podiatrist (Foot & Ankle Surgery)

222 N 2ND ST, SUITE 301
BOISE, ID 83702

Ada County (208) 344-3324

ROY TYLER FRIZZELL MD

Neurological Surgery

222 N 2ND ST, STE 307
BOISE, ID 83702

Ada County (208) 344-1000

BOISE RHEUMATOLOGY PC

Internal Medicine (Rheumatology)

222 N 2ND ST, STE. 304
BOISE, ID 83702

Ada County (208) 433-0232

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 Lisa Taylor's NPI number?

The NPI number for Lisa Taylor is 1962640920. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Lisa Taylor located?

Lisa Taylor practices at 222 N 2nd St Suite 215, Boise, ID 83702. The listed phone number is (208) 381-7340.

What is Lisa Taylor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Lisa Taylor enrolled in Medicare?

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

Which organization bills Medicare for Lisa Taylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Taylor reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Lisa Taylor'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 Lisa Taylor was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.