Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Raven Nicole Taylor, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1841772282

Raven Nicole Taylor, PHYSICIANASSISTANT is a Physician Assistant in Queen Creek, Arizona. Qualified in 2018, 8 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

21321 E Ocotillo Rd Ste 133
Queen Creek, AZ 85142-5995
Phone: (480) 987-5525
Fax: (480) 987-5115
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7335 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1841772282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 1, 2018
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Queen Creek