Individual provider Active NPI

Brittney Tyson, PA-C

  • Physician Assistant
  • Wooster, OH
National Provider Identifier
1114770831
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3373 Commerce Pkwy Ste 2
Wooster, OH 44691-7130
Phone
(330) 804-9712
Fax
(330) 804-9811
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3373 Commerce Pkwy Ste 2
Wooster, OH 44691-7130

Mailing address

6704 State Route 754
Millersburg, OH 44654-9718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241016004862 OH Practitioner - Physician Assistant 8820520737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomington Medical Services LLCGroup PAC ID 9032297627, 106 clinicians
Wooster Orthopaedics and Sportsmedicine IncGroup PAC ID 6204733355, 12 clinicians

Practice addresses (Care Compare)

1761 Beall Ave
Wooster, OH 44691-2342

3373 Commerce Pkwy
Wooster, OH 44691-7130

Hospital & facility affiliations

  • Wooster Community Hospital Hospital, Wooster, OH, CCN 360036
  • Pomerene Hospital Hospital, Millersburg, OH, CCN 360148
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC CurrentSince Jan 1, 2026 Accepting new patients
Wooster Orthopaedics & Sportsmedicine Inc CurrentSince Sep 3, 2024 Accepting new patients

Locations

1261 Wooster Rd
Ste 120
Millersburg, OH 44654
Phone (330) 674-0775

830 S Main St
Ste 103
Orrville, OH 44667
Phone (330) 684-4772

3373 Commerce Pkwy
Ste 2
Wooster, OH 44691
Phone (330) 264-7643

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Organizations & group practices 2

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 2

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": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1114770831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 STATE ROUTE 754",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446549718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 COMMERCE PKWY STE 2",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917130",
            "telephone_number": "330-804-9712",
            "fax_number": "330-804-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "BRITTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.