Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528452208 Individual Practitioner Female Practitioner

Taylor Bautista , PA-C

Physician Assistant • Eglin Afb, FL

Professional Overview & Biography Verified Profile Summary

Taylor Bautista, PA-C is a registered healthcare professional specializing in Physician Assistant in Eglin Afb, FL. Practice services are available at 307 BOATNER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd

Eglin Afb, FL 325421302

Telephone 8508839535
Associated Practice Facility / Clinic
🏢 96th Medgrp-Eglin Facility NPI 1588647770

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eglin Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.3 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Eglin Afb, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Zachary Newcomer

Psychiatry & Neurology - Neurology

NPI 1003270901
NPI 1003598632
NPI 1013459718

Registered Pharmacist, Doctor of Pharmacy (Pharm.D.)

NPI 1013597327

Doctor of Medicine (M.D.)

Dr. David Riggs , DO

Family Medicine

NPI 1013903129

Doctor of Osteopathic Medicine (D.O.)

Maria Stanek , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013995000

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location June 25, 2026

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508839535)

📍
Updated Business Mailing Address June 25, 2026

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508839535)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2026

Physician Assistant

👤
Provider Name / Credentials Updated October 15, 2024

Recorded as TAYLOR BAUTISTA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2024

Military Health Care Provider

📍
Updated Practice Location March 03, 2023

Registered at 238 BROOKLEY AVE SW BLDG 1300, BOLLING AFB, DC 200327704 (Tel: 2024042544)

📍
Updated Business Mailing Address March 03, 2023

Registered at 238 BROOKLEY AVE SW BLDG 1300, BOLLING AFB, DC 200327704 (Tel: 2024042544)

NPI Profile Active March 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2015

Registered at 208 W DL INGRAM, CANNON AFB, NM 88103 (Tel: 6026280665)

📍
Updated Business Mailing Address March 20, 2015

Registered at 2201 N NORRIS ST APT A, CLOVIS, NM 881019495 (Tel: 6026280665)

👤
Provider Name / Credentials Updated March 20, 2015

Recorded as TAYLOR BOTTARI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration March 20, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528452208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2015
Last Update: June 25, 2026
Sole Proprietor: Yes

Mailing Address

307 Boatner Rd

Eglin Afb, FL 325421302

Phone: 8508839535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.