Individual provider Active NPI

Paula Tyler, CRNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1396213708
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R169694 Issued in MD
Practice address
9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone
(443) 777-7000
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 169694 MD
Family Nurse Practitioner 363LF0000X R169694 MD Primary

Addresses

Primary practice location

9000 Franklin Square Dr
Baltimore, MD 21237-3901

Mailing address

8509 Gradien Dr
Baltimore, MD 21236-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20190327002818 DC Practitioner - Nurse Practitioner 2769722834 Reassigns benefits to 2 organizations
I20210422000404 MD Practitioner - Nurse Practitioner 2769722834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Weight Management, LLCGroup PAC ID 0840634267, 103 clinicians

Practice addresses (Care Compare)

1099 Winterson Rd
Suite 300
Linthicum, MD 21090-2279
Phone (800) 905-3261

620 W Macphail Rd
Bel Air, MD 21014-4474
Phone (443) 819-3648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169694MDMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group Anesthesiology LLC CurrentSince Feb 5, 2019 Accepting new patients
Medstar Health Weight Management, LLC CurrentSince Apr 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Feb 5, 2019 Accepting new patients

Locations

620 W Macphail Rd
Ste 102
Bel Air, MD 21014
Phone (443) 819-3648

6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832

1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: tyler.paula@ca-md.direct.office.nextgen.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1396213708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 GRADIEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212363005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-777-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "PAULA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MD",
            "license": "169694",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R169694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.