Nicholas Jordan Taylor, PMHNP-BC in Johnson City, TN

Nicholas Jordan Taylor, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Johnson City, Tennessee. His current practice location is 143 Woodland Dr, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (813) 528-5245.

Nicholas Jordan Taylor is licensed to practice in Montana (license number 212907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689372914.

Contact Information

	Nicholas Jordan Taylor, PMHNP-BC
	143 Woodland Dr, Johnson City, TN 37601-5453
	(813) 528-5245
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicholas Jordan Taylor
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	143 Woodland Dr, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689372914
Provider Enumeration Date: 02/16/2023
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 4981126273
Enrollment ID: I20250317000209

Medical Identifiers

Medical identifiers for Nicholas Jordan Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689372914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	33435 (Tennessee)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	212907 (Montana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicholas Jordan Taylor allows following entities to bill medicare on his behalf.

Entity Name	Sentinel Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821752403 PECOS PAC ID: 8820489743 Enrollment ID: O20220103000242

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicholas Jordan Taylor is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicholas Jordan Taylor, PMHNP-BC 143 Woodland Dr, Johnson City, TN 37601-5453 Ph: (813) 528-5245	Nicholas Jordan Taylor, PMHNP-BC 143 Woodland Dr, Johnson City, TN 37601-5453 Ph: (813) 528-5245

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Med Tech Pkwy Ste 100, Johnson City, TN 37604 Phone: 423-282-5611 Fax: 423-282-5712
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557

Nicholas Jordan Taylor, PMHNP-BC - Medicare Nurse Practitioner in Johnson City, TN