Individual provider Active NPI

Mary Margaret Rockers Tyni, NP

  • Adult Medicine Physician
  • Durham, NC
National Provider Identifier
1295409035
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
200500137 Issued in NC
Practice address
1821 Hillandale Rd Ste 24B
Durham, NC 27705-2671
Phone
(919) 383-5437
Fax
(919) 383-7694
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 200500137 NC Primary

Addresses

Primary practice location

1821 Hillandale Rd Ste 24B
Durham, NC 27705-2671

Mailing address

1821 Hillandale Rd Ste 24B
Durham, NC 27705-2671
Phone (919) 383-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211122000798 NC Practitioner - Nurse Practitioner 7911303177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1821 Hillandale Rd
Suite 24B
Durham, NC 27705-2671
Phone (919) 383-5437

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200500137NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Western Wake Wellness CurrentSince Oct 5, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 9, 2023 Accepting new patients

Locations

401 Keisler Dr
Ste 101
Cary, NC 27518
Phone (919) 378-1492

1821 Hillandale Rd
Ste 25A
Durham, NC 27705
Phone (919) 620-7300

1821 Hillandale Rd
Ste 25B
Durham, NC 27705
Phone (919) 613-9105

1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-5437

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEJBDA
  • Direct secure messaging: mrockerstyni557933@direct.medicine.duke.edu

Organizations & group practices 4

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.

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1295409035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 24B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052671",
            "telephone_number": "919-383-5437",
            "fax_number": "919-383-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 24B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052671",
            "telephone_number": "919-383-5437",
            "fax_number": "919-383-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKERS TYNI",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "200500137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.