Stacey Taylor, FNP - Medicare Nurse Practitioner in Detroit, MI

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Stacey Taylor, FNP is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Physician Group and her current practice location is 4201 Saint Antoine St Ste 5c, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 745-7999.

Stacey Taylor is licensed to practice in Michigan (license number 4704246188) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063860914.

Contact Information

Stacey Taylor, FNP
4201 Saint Antoine St Ste 5c,
Detroit, MI 48201-2153
(313) 745-7999
(313) 966-6400

Map and Direction




Provider's Profile

Full NameStacey Taylor
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location4201 Saint Antoine St Ste 5c, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Taylor graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1063860914
  • Provider Enumeration Date: 06/01/2016
  • Last Update Date: 10/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8022309285
  • Enrollment ID: I20160617000669

Medical Identifiers

Medical identifiers for Stacey Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063860914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704246188 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Harper University HospitalDetroit, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Physician Group8628087681399

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. Stacey Taylor allows following entities to bill medicare on her behalf.
Entity NameMichigan Emergency Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316968191
PECOS PAC ID: 7315927894
Enrollment ID: O20040723001095
Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518
Entity NameMurad Medical Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003174293
PECOS PAC ID: 2668628017
Enrollment ID: O20120817000311
Entity NamePhysiatry and Rehabilitation Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972777001
PECOS PAC ID: 8628136942
Enrollment ID: O20131015000221

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. Stacey 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 AddressPractice Location Address
Stacey Taylor, FNP
1560 E Maple Road, Suite 400 - Credentialing,
Troy, MI 48083-1138

Ph: (313) 745-7999		Stacey Taylor, FNP
4201 Saint Antoine St Ste 5c,
Detroit, MI 48201-2153

Ph: (313) 745-7999

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.