| Taylor Nicole Mould, PA-C | |
|
913 E 26th St Ste 305, Minneapolis, MN 55404-4515 | |
| (612) 871-7278 | |
| (612) 863-8531 |
| Full Name | Taylor Nicole Mould |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 913 E 26th St Ste 305, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245938489 | NPI | - | NPPES |
| 1200585 | Other | MN | NCCPA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 14370 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 14370 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Mercy Hospital | Coon rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3844 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Minnesota Neurosurgical Trauma Associates, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922241884 PECOS PAC ID: 6305998980 Enrollment ID: O20090713000096 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Nicole Mould, PA-C 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Taylor Nicole Mould, PA-C 913 E 26th St Ste 305, Minneapolis, MN 55404-4515 Ph: (612) 871-7278 |
Melissa Richardson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-273-3000 |
Ms. Chelsea Anjelica Mielke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 |
Jacqueline Marie Gasperlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000 |
Julianne K Heil, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Chicago Ave Ste 300, Minneapolis, MN 55407 Phone: 651-225-7855 Fax: 651-312-1570 |
Courtney Fields, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2211 Riverside Ave, Campus Box 149, Minneapolis, MN 55454 Phone: 612-330-1388 |
Tara Jean Rick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 420 Delaware St Se, Mmc276, Minneapolis, MN 55455 Phone: 612-624-0909 |
Christine Ray Hsu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Nicollet Mall, Minneapolis, MN 55403 Phone: 612-338-0035 |