Individual provider Active NPI

Kaitlyn Noel Tyrie, MD

  • Obstetrics & Gynecology Physician
  • Lewisburg, PA
National Provider Identifier
1184010878
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
209311 Issued in NC
Practice address
3 Hospital Dr Ste 312
Lewisburg, PA 17837
Phone
(570) 523-8700
Fax
(570) 523-8705
NPI assigned
Apr 9, 2015
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 209311 NC Primary
Obstetrics & Gynecology Physician 207V00000X MD467984 PA

Addresses

Primary practice location

3 Hospital Dr Ste 312
Lewisburg, PA 17837

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

21 Susquehanna Valley Mall Dr Ste C
Selinsgrove, PA 17870-9148
Phone (570) 523-8700

Other names 1

  • Miss Kaitlyn Noel Snyder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904001394 PA Practitioner - Obstetrics/Gynecology 5496023111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

1695 Roosevelt Ave
Suite B
York, PA 17408-8521
Phone (717) 851-5503

21 Susquehanna Valley Mall Dr
Suite C
Selinsgrove, PA 17870-9148
Phone (570) 524-6974

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Suite 312
Lewisburg, PA 17837-8909
Phone (570) 523-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
209311NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization CurrentSince Aug 6, 2019 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Medical Services Organization Obstetrics & Gynecology Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Aug 6, 2019 Accepting new patients
Evangelical Community Hospital Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

3 Hospital Dr
Ste 312
Lewisburg, PA 17837
Phone (570) 523-8700

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

21 Susquehanna Valley Mall Dr
Ste C
Selinsgrove, PA 17870
Phone (570) 523-8700

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: ktyrie482175@wellspan.direct-ci.com

Organizations & group practices 8

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 1

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1184010878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL DR STE 312",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "17837",
            "telephone_number": "570-523-8700",
            "fax_number": "570-523-8705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Susquehanna Valley Mall Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709148",
            "country_code": "US",
            "telephone_number": "570-523-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYRIE",
        "first_name": "KAITLYN",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "209311",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD467984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "SNYDER",
            "middle_name": "NOEL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.