Individual provider Active NPI

Michelle Tyser, PA

  • Physician Assistant
  • Lincoln, NE
National Provider Identifier
1083698518
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1215 Issued in NE
Practice address
1500 S 48TH St Ste 800
Lincoln, NE 68506-1200
Phone
(402) 483-8600
Fax
(402) 483-8689
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1215 NE
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 1215 NE Primary

Addresses

Primary practice location

1500 S 48TH St Ste 800
Lincoln, NE 68506-1200

Mailing address

1500 S 48TH St Ste 800
Lincoln, NE 68506-1200
Phone (402) 483-8600

Other identifiers 1

IdentifierTypeStateIssuer
10026945501MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.tyser.1@32348.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000809 NE Practitioner - Physician Assistant 6507899341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Pulmonary Specialties LLCGroup PAC ID 3072412881, 28 clinicians

Practice addresses (Care Compare)

1500 S 48TH St
Lincoln, NE 68506-1200
Phone 4024838600401

1600 S 48TH St
Suite 300
Lincoln, NE 68506-1200
Phone (402) 483-3333

4210 Pioneer Woods Dr
Suite a
Lincoln, NE 68506-7561
Phone (402) 488-4321

5401 S St
Lincoln, NE 68506-2150
Phone (402) 413-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.15 of 100Reported as group
Quality
63.81
Promoting interoperability
63
Improvement activities
40
Cost
69.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1215NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin J Reichmuth, MD, PC Single Specialty Current Accepting new patients
Jeffrey E Jarrett, MD, PC Single Specialty Current Accepting new patients
Douglas R. Fiedler, MD, PC Single Specialty Current Accepting new patients
Pulmonary Medicine of Lincoln, PC Single Specialty Current Accepting new patients
John F. Trapp, MD, PC Single Specialty Current Accepting new patients
William M Johnson, MD, PC Single Specialty Current Accepting new patients
Urgent Care Clinic of Lincoln, PC Single Specialty CurrentSince Jul 27, 2011 Accepting new patients

Locations

1500 S 48th St
Ste 800
Lincoln, NE 68506
Phone (402) 483-8600

4210 Pioneer Woods Dr
Ste A
Lincoln, NE 68506
Phone (402) 488-4321

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1083698518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST STE 800",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061200",
            "telephone_number": "402-483-8600",
            "fax_number": "402-483-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S 48TH ST STE 800",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061200",
            "telephone_number": "402-483-8600",
            "fax_number": "402-483-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSER",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1215",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026945501",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.tyser.1@32348.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 S 48th St Ste 800",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.