Individual provider Active NPI

Lynn Whitney Tyrer, PA-C

  • Physician Assistant
  • Batesville, IN
National Provider Identifier
1386718229
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000838A Issued in IN
Practice address
1051 State Road 229
Batesville, IN 47006-6809
Phone
(812) 932-5105
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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 10000838A IN Primary

Addresses

Primary practice location

1051 State Road 229
Batesville, IN 47006-6809

Mailing address

PO Box 226
Batesville, IN 47006-0226
Phone (812) 932-5105

Other identifiers 1

IdentifierTypeStateIssuer
300011478MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180308001850 IN Practitioner - Physician Assistant 8426319427 Reassigns benefits to 1 organization
I20240117002299 OH Practitioner - Physician Assistant 8426319427 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10000838AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital, Inc CurrentSince Feb 3, 2018 Accepting new patients
Margaret Mary Community Hospital Inc CurrentSince Feb 3, 2018 Accepting new patients
Major Hospital Past Accepting new patients
Jeffrey a. Hatcher, MD, PC Past Accepting new patients

Locations

256 State Road 129 S
Batesville, IN 47006
Phone (812) 932-4700

1051 State Road 229
Batesville, IN 47006
Phone (812) 933-5110

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

Interoperability endpoints

  • Direct secure messaging: lynn.tyrer@mmhealth.cernerdirect.com

Organizations & group practices 5

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1386718229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 226",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060226",
            "telephone_number": "812-932-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 STATE ROAD 229",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470066809",
            "telephone_number": "812-932-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRER",
        "first_name": "LYNN",
        "middle_name": "WHITNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000838A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300011478",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.