Active NPI
Tyler Bates
- Nurse Practitioner
- Granville, OH
National Provider Identifier
1508575374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.0036047
- Practice address
- 1945 Newark Granville Rd
Granville, OH 43023-9169 - Phone
- (614) 627-0278
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95023282 | CA | |
| Nurse Practitioner | 363L00000X | APRN.CNP.0036047 | OH | Primary |
Addresses
Primary practice location
1945 Newark Granville Rd
Granville, OH 43023-9169
Mailing address
1945 Newark Granville Rd
Granville, OH 43023-9169
Other names 1
- Tyler Skaggs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221205001808 | CA | Practitioner - Nurse Practitioner | 1850760331 | Reassigns benefits to 1 organization |
| I20240508001547 | OH | Practitioner - Nurse Practitioner | 1850760331 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Carmel Healthproviders Inc
Practice addresses (Care Compare)
1945 Newark Granville Rd
Granville, OH 43023-9169
Phone (614) 627-1870
Hospital & facility affiliations
- Mount Carmel East & West
- Beebe Medical Center
- Mount Carmel New Albany Surgical Hospital
- Diley Ridge Medical Center
- Licking Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.17 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Mount Carmel Health Providers Inc | Current | Accepting new patients | |
| Monica Perlman MD Inc. | Current | Accepting new patients | |
| Mount Carmel Healthproviders Inc | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients |
Locations
9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800
3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855
204 S Santa Fe Ave
Vista, CA 92084
Phone (760) 941-8888
1945 Newark Granville Rd
Granville, OH 43023
Phone (614) 627-1870
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
55 N High St
New Albany, OH 43054
Phone (614) 627-1878
370 E Broad St
Pataskala, OH 43062
Phone (614) 627-1395
Interoperability endpoints
- tbates3448751@direct.trinity-health.org
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.
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
OH
-
- Family Medicine Physician
- Columbus, OH
- NPI 1831364876
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
Hospital & facility affiliations 6
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": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1508575374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1945 NEWARK GRANVILLE RD",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1945 NEWARK GRANVILLE RD",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239169",
"telephone_number": "614-627-0278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95023282",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0036047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TYLER",
"last_name": "SKAGGS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Granville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.