Tyler J Maag, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Columbus Grove, OH
NPI 1104550565 · NPPES record last updated Aug 26, 2022
Key facts
- NPI
- 1104550565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0032202 (OH)
- Practice address
- 100 Progressive Dr
Columbus Grove, OH 45830-9620 - Phone
- (419) 659-6010
- NPI assigned
- Jul 12, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Lima, LLC
Practice addresses (Care Compare)
100 Progressive Dr
Columbus Grove, OH 45830-9620
Phone (419) 659-6010
Hospital & facility affiliations
- Putnam County Homecare
- Mercy Health St Ritas Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929003627 | OH | Practitioner - Nurse Practitioner | 1759767676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.439039 | OH | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima, LLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
100 Progressive Dr
Columbus Grove, OH 45830
Phone (419) 659-6010
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
Interoperability endpoints
- tmaag861115@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN.439039 | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0032202 | OH | Yes |
Addresses
Primary practice location
100 Progressive Dr
Columbus Grove, OH 45830-9620
Mailing address
9288 Shaffer St
Findlay, OH 45840-0202
Phone (419) 890-8840
Other providers in Columbus Grove, OH
- Lisa Karhoff
- Claire Kiene
- Linda Lou Kruse
- Paige Elizabeth Langhals
- Pam Langhals
- Alisa J. Marzec
- Kirsten L McCauley
- Tina M McKinnie
- Cory Joe Meuleman
- Needler Chiropractic Inc
All providers in Columbus Grove, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.