Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Jordan Taylor, PA-C

Individual provider Physician Assistant · NPI 1619609476

Nicholas Jordan Taylor, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Mountain View Pain Specialists, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2222 W Dunlap Ave
Phoenix, AZ 85021-2800
Phone: (602) 325-2024
Fax: (720) 925-5897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6622 N 91st Ave Ste 230, Glendale, AZ 85305-2570 — (602) 325-2024

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9915 (AZ)

Record details

NPI number1619609476
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mountain View Pain Specialists — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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