Tylyn Loudermilk
Individual provider Active NPI Family Nurse Practitioner · Baker, MT
NPI 1467051318 · NPPES record last updated Oct 29, 2025
Key facts
- NPI
- 1467051318
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NUR-APRN-LIC-239010 (MT)
- Practice address
- 202 S 4TH St W
Baker, MT 59313-9156 - Phone
- (406) 778-3331
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fallon Medical Complex Inc
Practice addresses (Care Compare)
202 S 4TH St W
Baker, MT 59313-9156
Phone (406) 778-5303
PO Box
Baker, MT 59313
Hospital & facility affiliations
- Fallon Medical Complex Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210119001493 | OH | Practitioner - Nurse Practitioner | 2567872831 | Reassigns benefits to 3 organizations |
| I20240821002687 | MT | Practitioner - Nurse Practitioner | 2567872831 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0027383 | OH | MD | Nurse Practitioner |
| NUR-APRN-LIC-239010 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group of Southeastern Ohio Inc | Current |
Accepting new patients | |
| Amjad Rass, Inc | Current |
Accepting new patients | |
| Amjad Rass Inc | Current |
Accepting new patients | |
| Muskingum Valley Health Centers | Current |
Accepting new patients | |
| Fallon Medical Complex Inc | Current | Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients | |
| Fallon Medical Complex Inc | Current |
Accepting new patients | |
| Muskingum Valley Health Centers | Current | Accepting new patients | |
| Medical Home Primary Care Center | Current | Accepting new patients | |
| Muskingum Valley Health Centers | Current |
Accepting new patients | |
| Fallon Medical Complex Inc | Past | Accepting new patients | |
| Muskingum Valley Health Centers | Past | Accepting new patients |
Locations
710 Drake St
Wibaux, MT 59353
Phone (406) 778-2833
1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530
316 Clark St
Cambridge, OH 43725
Phone (740) 432-7600
1730 Southgate Pkwy
Cambridge, OH 43725
Phone (740) 435-8585
440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331
450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110
406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331
1205 Cambridge Rd
#100
Coshocton, OH 43812
Phone (740) 622-9433
859 N Main St
Malta, OH 43758
Phone (740) 962-6111
915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000
716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239
33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0027383 | OH | |
| Family Nurse Practitioner | 363LF0000X | NUR-APRN-LIC-239010 | MT | Yes |
Addresses
Primary practice location
202 S 4TH St W
Baker, MT 59313-9156
Mailing address
716 Adair Ave
Zanesville, OH 43701-2836
Phone (740) 891-9000
Other providers in Baker, MT
- Fallon Medical Complex, Inc
- Fallon Medical Complex, Inc
- Gerald Gamrath
- Carrie Jo Haar
- Amber Elena Hurley
- Mikenna Marie O'Donnell
- Todd Overton
- Eric S Sonsalla
- Brian Michael Sullivan
- Superior Care Villa
All providers in Baker, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.