Tylyn Loudermilk

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NUR-APRN-LIC-239010 Issued in MT

Practice address

202 S 4TH St W
Baker, MT 59313-9156

Phone

(406) 778-3331

NPI assigned

Oct 21, 2020

Last updated

Oct 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, MT2 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fallon Medical Complex IncGroup PAC ID 0941119499, shared by 4 NPIs, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fallon Medical Complex Hospital Hospital, Baker, MT, CCN 271301

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fallon Medical Complex Inc

  • Critical Access Hospital
  • Baker, MT
  • NPI 1316965346
  Medicare reassignment NPD
• Fallon Medical Complex Inc

  dba dba Community Clinic

  • Critical Access Hospital Clinic/Center
  • Baker, MT
  • NPI 1386700763
  Medicare reassignment NPD
• Amjad Rass, Inc

  • General Practice Physician
  • Cambridge, OH
  • NPI 1063430932
  Medicare reassignment NPD
• Muskingum Valley Health Centers

  • Primary Care Clinic/Center
  • Malta, OH
  • NPI 1205018348
  Medicare reassignment NPD
• Physicians Group of Southeastern Ohio Inc

  • Internal Medicine Physician
  • Zanesville, OH
  • NPI 1528177730
  Medicare reassignment NPD
• Fallon Medical Complex Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Baker, MT
  • NPI 1316013022
  NPD
• Amjad Rass Inc

  • Rural Health Clinic/Center
  • Cambridge, OH
  • NPI 1033414081
  NPD
• Medical Home Primary Care Center

  • Family Medicine Physician
  • Zanesville, OH
  • NPI 1578870911
  NPD
• Muskingum Valley Health Centers

  • Primary Care Clinic/Center
  • Zanesville, OH
  • NPI 1053967802
  NPD
• Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Zanesville, OH
  • NPI 1851285019
  NPD
• Fallon Medical Complex Inc

  dba Wibaux Clinic

  • Health Service Clinic/Center
  • Wibaux, MT
  • NPI 1043229776
  NPD (past)
• Muskingum Valley Health Centers

  • Primary Care Clinic/Center
  • Cambridge, OH
  • NPI 1881078566
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fallon Medical Complex Inc

  • Critical Access Hospital
  • Baker, MT
  • NPI 1316965346
  Care Compare affiliation

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1467051318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 ADAIR AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012836",
            "telephone_number": "740-891-9000",
            "fax_number": "740-891-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S 4TH ST W",
            "city": "BAKER",
            "state": "MT",
            "postal_code": "593139156",
            "telephone_number": "406-778-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDERMILK",
        "first_name": "TYLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-239010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fallon Medical Complex, Inc
• Fallon Medical Complex, Inc
• Gerald Gamrath (Lawler Drug)
• Carrie Jo Haar, MSN, APRN, FNP-C
• Amber Elena Hurley, DPT
• Mikenna Marie O'Donnell, OTR/L
• Todd Overton
• Eric S Sonsalla, PHARMD
• Brian Michael Sullivan, MD
• Superior Care Villa

• Family Nurse Practitioner in Baker, MT
• Providers in Baker, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.