Active NPI
Adam James Tyler, APRN
- Nurse Practitioner
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71012584A
- Practice address
- 1753 Fulton St
Elkhart, IN 46514-1927 - Phone
- (574) 293-9448
- Fax
- (574) 293-9480
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28220091A | IN | |
| Nurse Practitioner | 363L00000X | 71012584A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | 2021085859 | IN |
Addresses
Primary practice location
1753 Fulton St
Elkhart, IN 46514-1927
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-6592
Other practice location 1
53760 Generations Dr
South Bend, IN 46635-1539
Phone (574) 500-2010
Other practice location 2
2606 Peddlers Village Rd Ste 215
Goshen, IN 46526-1004
Phone (888) 938-3838
Other practice location 3
5838 W Brick Rd Ste 106
South Bend, IN 46628-8420
Phone (574) 247-1911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300064075 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vpa PC
Practice addresses (Care Compare)
1753 Fulton St
Elkhart, IN 46514-1927
Phone (574) 293-9448
5838 W Brick Rd
Suite 106
South Bend, IN 46628-8420
Phone (216) 678-4599
Hospital & facility affiliations
- Elkhart General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28220091A | IN | MD | Registered Nurse |
| 71012584A | IN | MD | Nurse Practitioner |
| 2021085859 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients |
Locations
1753 Fulton St
Elkhart, IN 46514
Phone (574) 293-9448
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
- Critical Care Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1821222829
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkhart, IN
- NPI 1477551489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1174298764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-6592",
"fax_number": "574-647-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1753 FULTON ST",
"city": "ELKHART",
"state": "IN",
"postal_code": "465141927",
"telephone_number": "574-293-9448",
"fax_number": "574-293-9480"
}
],
"practiceLocations": [
{
"address_1": "53760 Generations Dr",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466351539",
"country_code": "US",
"telephone_number": "574-500-2010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2606 Peddlers Village Rd Ste 215",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "IN",
"postal_code": "465261004",
"country_code": "US",
"telephone_number": "888-938-3838",
"fax_number": "888-919-1083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5838 W Brick Rd Ste 106",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466288420",
"country_code": "US",
"telephone_number": "574-247-1911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLER",
"first_name": "ADAM",
"middle_name": "JAMES",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28220091A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71012584A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "2021085859",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300064075",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.