Tyler L Robertson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1-113384 Issued in AL

Practice address

1 Hospital Dr SW
Huntsville, AL 35801-6455

Phone

(256) 429-5071

Fax

(256) 429-4674

NPI assigned

Aug 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Tennessee, HSC, College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Payne Anesthesia Services LLCGroup PAC ID 5496268559, 18 clinicians

Marshall Medical Center SouthGroup PAC ID 0648534495, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
• Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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.

• Fort Payne Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Fort Payne, AL
  • NPI 1669263976

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Marshall Medical Center South

  • Certified Registered Nurse Anesthetist
  • Boaz, AL
  • NPI 1497269799

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Physynergy, LLC

  • Anesthesiology Physician
  • Huntsville, AL
  • NPI 1134465560

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• 360 Anesthesia PLLC

  • Anesthesiology Physician
  • Wilkes Barre, PA
  • NPI 1811637366

  AL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Epix Anesthesia of Alabama LLC

  • Anesthesiology Physician
  • Roswell, GA
  • NPI 1629427059

  AL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Alabama-TCS Inc

  • Anesthesiology Physician
  • Brentwood, TN
  • NPI 1750989877

  AL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  NPD
• Physynergy, LLC

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1093173502

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia Management Group of North Alabama,LLC

  • Pain Medicine (Anesthesiology) Physician
  • Valley Head, AL
  • NPI 1003154238
  NPD (past)
• Dekalb Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Fort Payne, AL
  • NPI 1376625863
  NPD (past)
• Anesthesiology Consultants Exchange, PC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1184670218

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Physynergy, LLC

  • Anesthesiology Physician
  • Shelbyville, TN
  • NPI 1124455969

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Dekalb, LLC

  • General Acute Care Hospital
  • Fort Payne, AL
  • NPI 1770344665
  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1124308473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52404",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052404",
            "telephone_number": "256-429-5071",
            "fax_number": "256-429-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016455",
            "telephone_number": "256-429-5071",
            "fax_number": "256-429-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TYLER",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN16057",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN169321",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-113384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4306609",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133589",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003114495A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Dianne Roberts
• Ann Hamlett Robertson, M.N., R.N.
• Ashley Kendrot Robertson
• Elena Vladimirovna Robertson, CRNP
• Howard Mason Robertson Jr., M.D.
• Lawrence Robey, M.D.
• Erin Elizabeth Robinette
• Aanita Janette Robinson, LPTA
• Alexis C Robinson
• Amber Robinson

• Certified Registered Nurse Anesthetist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Certified Registered Nurse Anesthetist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.