Individual provider Active NPI

Tyler Wyatt Nolf, PA-C

  • Surgical Physician Assistant
  • Butler, PA
National Provider Identifier
1457138489
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA064910 Issued in PA
Practice address
127 Oneida Valley Rd Ste 202
Butler, PA 16001-2239
Phone
(844) 282-4370
NPI assigned
Sep 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X MA064910 PA Primary

Addresses

Primary practice location

127 Oneida Valley Rd Ste 202
Butler, PA 16001-2239

Mailing address

349 Cole Rd
Sarver, PA 16055-9537
Phone (724) 841-5012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231012003769 PA Practitioner - Physician Assistant 4183079007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler Medical ProvidersGroup PAC ID 7416840160, 355 clinicians

Practice addresses (Care Compare)

1 Hospital Way
Butler, PA 16001-4670

1 Hospital Way 4
Butler Infectious Disease Services
Butler, PA 16001-4670
Phone (724) 284-4309

127 Oneida Valley Rd
Butler, PA 16001-2239

127 Oneida Valley Rd
Butler, PA 16001-2246

127 Oneida Valley Rd
Suite 400
Butler, PA 16001-2251
Phone (833) 995-0118

One Hospital Way 4TH Floor
BHS Women'S Care Associates
Butler, PA 16001-4670
Phone (844) 765-2845

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168
  • Independence Health System Clarion Hospital Hospital, Clarion, PA, CCN 390093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064910PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Sep 28, 2023 Accepting new patients
Butler Medical Providers CurrentSince Sep 28, 2023 Accepting new patients
Butler Medical Providers Multi-Specialty Past Accepting new patients
Butler Medical Providers Past Accepting new patients

Locations

127 Oneida Valley Rd
Ste 202
Butler, PA 16001
Phone (844) 282-4370

127 Oneida Valley Rd
Ste 206
Butler, PA 16001
Phone (844) 282-4370

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

330 N Point Dr
Ste 301
Clarion, PA 16214
Phone (814) 393-6052

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

21 Franklin Village Mall
Ste 2
Kittanning, PA 16201
Phone (724) 543-1386

2602 Wilmington Rd
Ste 101
New Castle, PA 16105
Phone (724) 658-7300

Interoperability endpoints

  • Direct secure messaging: tyler.nolf@direct-address.net

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.

Hospital & facility affiliations 5

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1457138489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 COLE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559537",
            "telephone_number": "724-841-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ONEIDA VALLEY RD STE 202",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012239",
            "telephone_number": "844-282-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLF",
        "first_name": "TYLER",
        "middle_name": "WYATT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA064910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.