Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740803238 Individual Practitioner Female Practitioner

Taylor Boden , MMS, RD, PA-C

Physician Assistant • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Taylor Boden, MMS, RD, PA-C is a registered healthcare professional specializing in Physician Assistant in Chicago, IL. Practice services are available at 259 E ERIE ST STE 2020 under active NPI credentials.

Frequently performed procedures and clinical services include coronary artery bypass using artery graft, 1 graft. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

259 E Erie St Ste 2020

Chicago, IL 606112994

Telephone 3126956647
Fax 3126950044

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft
13 13 $1149.00 $233.68

Medical Specialties & State Licenses

CMS Verified: 2024-11-21
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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300041213 (IN)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Jamie Olivero , PA-C

Physician Assistant

NPI 1518365121

Physician Assistant (Certified)

Dr. Murad Alam , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1578553822

Doctor of Medicine (M.D.)

Kelly Beyer , PA-C

Physician Assistant

NPI 1629882071

Physician Assistant (Certified)

Dr. Simon Yoo , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1760466411

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 21, 2024

Registered at 259 E ERIE ST STE 2020, CHICAGO, IL 606112994 (Tel: 3126956647)

📍
Updated Business Mailing Address November 21, 2024

Registered at 259 E ERIE ST STE 2020, CHICAGO, IL 606112994 (Tel: 3126956647)

👤
Provider Name / Credentials Updated November 21, 2024

Recorded as TAYLOR BODEN, MMS, RD, PA-C

📍
Updated Practice Location April 05, 2021

Registered at 500 ARCADE AVE STE 230, ELKHART, IN 465142485 (Tel: 5745226565)

📍
Updated Business Mailing Address April 05, 2021

Registered at 710 N NILES AVE, SOUTH BEND, IN 466171924 (Tel: 5746471610)

NPI Profile Active May 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2020

Registered at 615 N MICHIGAN ST, SOUTH BEND, IN 466011033 (Tel: 5746471000)

📍
Updated Business Mailing Address May 19, 2020

Registered at 615 N MICHIGAN ST, SOUTH BEND, IN 466011033

👤
Provider Name / Credentials Updated May 19, 2020

Recorded as TAYLOR REINHARDT, MMS, RD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 19, 2020

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: 1740803238
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2020
Last Update: November 21, 2024
Sole Proprietor: No

Mailing Address

259 E Erie St Ste 2020

Chicago, IL 606112994

Phone: 3126956647

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.