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

Taytum Rae Vermilyea, PA-C

Individual provider Physician Assistant · NPI 1295573434

Taytum Rae Vermilyea, PA-C is a Physician Assistant in Prescott, Arizona. Qualified in 2024, 2 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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

1050 Gail Gardner Way Ste 300
Prescott, AZ 86305-1640
Phone: (928) 717-5232
Fax: (928) 717-5238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 87 S State Route 89, Chino Valley, AZ 86323-5687 — (928) 404-1488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10488 (AZ)

Record details

NPI number1295573434
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2024
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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 Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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