Jessica Anne Tysz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-193147 Issued in AL

Practice address

9000 Greenbrier Rd
Madison, AL 35756

Phone

(256) 893-9500

Fax

(702) 853-3854

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Anne Guerrero Former name

Medicare fee-for-service enrollment

Enrolled in NV, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Feras Hamdan Alabama MD PCGroup PAC ID 2163944893, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Feras Hamdan Alabama MD PC

  • Internal Medicine Physician
  • Cullman, AL
  • NPI 1245040583
  Medicare reassignment Care Compare group NPD
• Daniel Olivero MD Alabama HC PC

  • Internal Medicine Physician
  • Cullman, AL
  • NPI 1245113091
  Medicare reassignment NPD
• Lubna Javed MD PLLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1033537402
  Medicare reassignment NPD

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1104487164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 GREENBRIER PKWY NW UNIT 84",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357564815",
            "telephone_number": "256-893-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 GREENBRIER RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "35756",
            "telephone_number": "256-893-9500",
            "fax_number": "702-853-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSZ",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "821593",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-193147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GUERRERO",
            "middle_name": "ANNE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peggie K Tucker, LICSW
• Travis Tucker, O.D.
• Emylee Tull, PT, DPT, ATC
• Joyce M. Turner, R.P.T.
• Tyson Corner Counseling LLC
• U Save Pharmacies LLC
• Upperline Healthcare PC
• Urgent Care Northwest PC
• Urgent Care of Madison PC
• Kacy Hairell Uribe, CRNP

• Family Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.