Individual provider Active NPI

Tyson McBride, PA-C

  • Medical Physician Assistant
  • Lovelock, NV
National Provider Identifier
1093230880
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1887 Issued in NV
Practice address
855 6TH Street
Lovelock, NV 89419
Phone
(775) 273-2918
NPI assigned
Aug 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1887 NV Primary

Addresses

Primary practice location

855 6TH Street
Lovelock, NV 89419

Mailing address

PO Box 2024
Lovelock, NV 89419-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20180531001850 NV Practitioner - Physician Assistant 3173885142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pershing General HospitalGroup PAC ID 7012825433, 13 clinicians

Practice addresses (Care Compare)

PO Box
Suite 661
Lovelock, NV 89419-0661

Hospital & facility affiliations

  • Eden Home Health Home health agency, Reno, NV, CCN 297035
  • Pershing General Hospital Hospital, Lovelock, NV, CCN 291304
  • Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1887NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pershing General Hospital CurrentSince Nov 30, 2017 Accepting new patients
Pershing General Hospital CurrentSince Nov 30, 2017 Accepting new patients
Pershing General Hospital CurrentSince Apr 25, 2018 Accepting new patients

Organizations & group practices 3

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505952000000",
    "number": "1093230880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2024",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "894192024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 6TH STREET",
            "city": "LOVELOCK",
            "state": "NV",
            "postal_code": "89419",
            "telephone_number": "775-273-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "TYSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovelock, NV

Sources for this page

Verify at the official NPI Registry.