Individual provider Active NPI

Tyler Maples, RN, BSN

  • Certified Registered Nurse Anesthetist
  • Maryville, TN
National Provider Identifier
1184222606
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4008691 Issued in KY
Practice address
605 Karrow St
Maryville, TN 37803-8001
Phone
(865) 216-8276
NPI assigned
Oct 16, 2020
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4008691 KY Primary
Registered Nurse 163W00000X 204696 TN

Addresses

Primary practice location

605 Karrow St
Maryville, TN 37803-8001

Mailing address

605 Karrow St
Maryville, TN 37803-8001
Phone (865) 216-8276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TN, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221103001827 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416363973 Reassigns benefits to 1 organization
I20241109000317 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416363973 Reassigns benefits to 2 organizations
I20250408000030 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416363973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Anesthesia PCGroup PAC ID 8921044744, 214 clinicians
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-2000

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 390-0451

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
7755NCMDGeneral Practice Dentistry
204696TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Aug 16, 2022 Accepting new patients
Resource Anesthesiology Associates of TN PC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2024 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Apr 7, 2025 Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Yale University CurrentSince Aug 16, 2022 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Jan 1, 2026 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

Organizations & group practices 7

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 9

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": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1184222606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 KARROW ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378038001",
            "telephone_number": "865-216-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 KARROW ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378038001",
            "telephone_number": "865-216-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "TYLER",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4008691",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "204696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.