Active NPI
James Tyler, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 085084
- Practice address
- 2817 Saint Johns Blvd
Joplin, MO 64804-1563 - Phone
- (417) 781-2727
- Fax
- (417) 625-2279
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 085084 | MO | Primary |
Addresses
Primary practice location
2817 Saint Johns Blvd
Joplin, MO 64804-1563
Mailing address
2817 Saint Johns Blvd
Joplin, MO 64804-1563
Phone (417) 781-2727
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 916872310 | Medicaid | MO | |
| 100250310C | Medicaid | KS | |
| 100786690B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729
Hospital & facility affiliations
- Mercy Hospital Joplin
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085084 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Mercy Hospital Cassville | Current | Accepting new patients | |
| St Johns Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| St John'S Regional Medical Center | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Critical Access Hospital
- Cassville, MO
- NPI 1285676932
-
- Medicare Defined Swing Bed Hospital Unit
- Aurora, MO
- NPI 1295878981
-
- Medicare Defined Swing Bed Hospital Unit
- Cassville, MO
- NPI 1154535342
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1700032653
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1841240546
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1467429092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 SAINT JOHNS BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041563",
"telephone_number": "417-781-2727",
"fax_number": "417-625-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 SAINT JOHNS BLVD",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648041563",
"telephone_number": "417-781-2727",
"fax_number": "417-625-2279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "JAMES",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "085084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "916872310",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100250310C",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100786690B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.