Organization Active NPI

Tyler Physicians, P.a.

  • Multi-Specialty Clinic/Center
  • Wichita, KS
National Provider Identifier
1083879399
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TYLER PHYSICIANS, P.A.
Practice address
10202 W 13TH St N
Wichita, KS 67212-4377
Phone
(316) 729-9100
Fax
(316) 729-9185
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mrs. Tristyn Amy PierceNPI 1932122439
Title
President/Owner
Phone
(316) 729-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

10202 W 13TH St N
Wichita, KS 67212-4377

Mailing address

10202 W 13TH St N
Wichita, KS 67212-4377
Phone (316) 729-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000013 KS Part B Supplier - Clinic/Group Practice 3870654676 Receives reassigned benefits from 4 practitioners
Practice locations: Wichita, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0859668Tyler Physicians, PA10202 West 13TH Street N, Wichita, KS 67212Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

10202 W 13th St N
Wichita, KS 67212
Phone (316) 729-9100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1083879399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10202 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124377",
            "telephone_number": "316-729-9100",
            "fax_number": "316-729-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10202 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124377",
            "telephone_number": "316-729-9100",
            "fax_number": "316-729-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "TRISTYN",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "316-729-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.