Individual provider Active NPI

Tysen N Norton, PA

  • Physician Assistant
  • Windsor, CA
National Provider Identifier
1275869497
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53683 Issued in CA
Practice address
6580 Hembree LN Ste 270
Windsor, CA 95492-6885
Phone
(707) 838-2044
Fax
(707) 838-2150
NPI assigned
Oct 22, 2009
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA53683 CA Primary

Addresses

Primary practice location

6580 Hembree LN Ste 270
Windsor, CA 95492-6885

Mailing address

PO Box 2559
Rohnert Park, CA 94927-2559

Other practice location 1

3 Sixth St.
Coastal Health Alliance
Point Reyes Station, CA 94956
Phone (415) 663-8666

Other practice location 2

6174 State Farm Dr
Rohnert Park, CA 94928-2135
Phone (707) 586-4320

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urgentcaresrmh@sjhhandhmg.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170807003253 CA Practitioner - Physician Assistant 2264701960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mogo Urgent CareGroup PAC ID 7810329976, 21 clinicians

Practice addresses (Care Compare)

2020 Del Monte Ave
Suite B
Monterey, CA 93940-2401
Phone (831) 625-4500

26135 Carmel Rancho Blvd
Suite B1
Carmel, CA 93923-8768
Phone (831) 622-6940

2930 2ND Ave
Suite 120
Marina, CA 93933-6244
Phone (831) 625-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA53683CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health Alliance CurrentSince Oct 17, 2016 Accepting new patients

Organizations & group practices 2

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 2

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": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1275869497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2559",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949272559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 HEMBREE LN STE 270",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954926885",
            "telephone_number": "707-838-2044",
            "fax_number": "707-838-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Sixth St.",
            "address_2": "Coastal Health Alliance",
            "address_purpose": "LOCATION",
            "city": "Point Reyes Station",
            "state": "CA",
            "postal_code": "94956",
            "country_code": "US",
            "telephone_number": "415-663-8666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6174 State Farm Dr",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282135",
            "country_code": "US",
            "telephone_number": "707-586-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTON",
        "first_name": "TYSEN",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentcaresrmh@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1165 Montgomery Dr",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Windsor, CA

Sources for this page

Verify at the official NPI Registry.