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

Taylor Anne List

Individual provider Family Nurse Practitioner · NPI 1053910711

Taylor Anne List is a Nurse Practitioner in Williamsport, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Ophelia Medical Group Fl PA, a 100-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
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Practice location Address checks out

131 W Edwin St
Williamsport, PA 17701-6131
Phone: (570) 505-8331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP022721 (PA)

Record details

NPI number1053910711
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address246 Arlington St, Duboistown, PA 17702-6802

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ophelia Medical Group Fl Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Williamsport