NPIMap

Individual provider Active NPI

Tyler Thomas Palmer, DNAP

  • Certified Registered Nurse Anesthetist
  • Norfolk, NE
National Provider Identifier
1134796451
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101655 Issued in NE
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 371-4880
NPI assigned
Jun 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101655 NE Primary

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone (402) 371-4880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510002699 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648671735 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
City of BrookingsGroup PAC ID 1052307105, 112 clinicians
TTB Services Prof LLCGroup PAC ID 3476797135, 23 clinicians

Practice addresses (Care Compare)

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

300 22ND Ave
Brookings, SD 57006-2480
Phone (605) 692-6351

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 361-3937

909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431

910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (605) 334-6730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
City of Brookings CurrentSince Oct 15, 2023 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Oct 1, 2025 Accepting new patients
City of Brookings CurrentSince Oct 15, 2023 Accepting new patients
City of Brookings Current Accepting new patients
Avera McKennan CurrentSince Apr 29, 2022 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2022 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Oct 1, 2025 Accepting new patients

Locations

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1134796451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-371-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-371-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TYLER",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DNAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.