Individual provider Active NPI

Christina Maria Tyus, APRN

  • Family Nurse Practitioner
  • Radcliff, KY
National Provider Identifier
1215688791
Registry record updated Jan 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017241 Issued in KY
Practice address
1632 Hemlock LN
Radcliff, KY 40160-2822
Phone
(850) 602-7783
NPI assigned
Jan 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017241 KY Primary

Addresses

Primary practice location

1632 Hemlock LN
Radcliff, KY 40160-2822

Mailing address

1632 Hemlock LN
Radcliff, KY 40160-2822
Phone (850) 602-7783

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505002235 KY Practitioner - Nurse Practitioner 5092192385 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

651 U S 31 W Bypass
Suite 106
Bowling Green, KY 42104
Phone (270) 495-0440

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
79.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Apr 27, 2022 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
CG Medical Associates Inc CurrentSince Dec 2, 2025 Accepting new patients
Kiosk Medicine Kentucky LLC Family CurrentSince Sep 23, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 5, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 27, 2022 Accepting new patients

Locations

651 US 31W Byp
Ste 106
Bowling Green, KY 42101
Phone (270) 495-0440

1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109

2413 Ring Rd
Ste 100
Elizabethtown, KY 42701
Phone (270) 737-0077

7683 Mall Rd
Unit B
Florence, KY 41042
Phone (859) 817-1320

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

185 Adam Shepherd Pkwy
Shepherdsville, KY 40165
Phone (502) 543-7247

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642204800000",
    "number": "1215688791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 HEMLOCK LN",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602822",
            "telephone_number": "850-602-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 HEMLOCK LN",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602822",
            "telephone_number": "850-602-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYUS",
        "first_name": "CHRISTINA",
        "middle_name": "MARIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1632 Hemlock Ln",
            "city": "Radcliff",
            "state": "KY",
            "country_code": "US",
            "postal_code": "401602822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

Verify at the official NPI Registry.