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

Taylor M Miguelino, PA

Individual provider Dermatology Physician · NPI 1407692791

Taylor M Miguelino, PA is a Physician Assistant in Charlottesville, Virginia. Qualified in 2024, 2 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1221 Lee St
Charlottesville, VA 22908-0001
Phone: (434) 924-5115
Fax: (434) 244-4504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-0000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110010179 (VA)
Dermatology Physician Taxonomy 207N00000X · Licence 0110010179 (VA)

Record details

NPI number1407692791
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2024
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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