Individual provider Active NPI

Tyler Hobbs, FNP

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1528542644
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
88800784405 Issued in UT
Practice address
3507 N University Ave Ste 100
Provo, UT 84604-4479
Phone
(801) 818-1940
Fax
(801) 818-1945
NPI assigned
Sep 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 88800784405 UT Primary

Addresses

Primary practice location

3507 N University Ave Ste 100
Provo, UT 84604-4479

Mailing address

1152 E 350 N
Orem, UT 84097-5032
Phone (801) 319-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 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

Enrollment IDStateProvider typePAC IDDetails
I20190104002926 UT Practitioner - Nurse Practitioner 3476899865 Reassigns benefits to 1 organization
I20260409001026 ID Practitioner - Nurse Practitioner 3476899865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey L Mathews MD a Professional CorporationGroup PAC ID 8022048198, 2 clinicians

Practice addresses (Care Compare)

3507 N University Ave
Suite 100
Provo, UT 84604-4479
Phone 801818194013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as individual
Quality
88.52
Improvement activities
40
Cost
72.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
88800784405UTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Valley Health LLC CurrentSince Jan 24, 2026 Accepting new patients
Jeffrey L Mathews MD a Professional Corporation CurrentSince Oct 1, 2018 Accepting new patients

Locations

901 N Curtis Rd
Ste 404
Boise, ID 83706
Phone (208) 247-5050

3650 N University Ave
Ste 150
Provo, UT 84604
Phone (801) 818-1940

3507 N University Ave
Ste 100
Provo, UT 84604
Phone (208) 247-5050

852 Expressway Ln
Spanish Fork, UT 84660
Phone (801) 794-7947

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJABCA

Organizations & group practices 2

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 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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1528542644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 E 350 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975032",
            "telephone_number": "801-319-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N UNIVERSITY AVE STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044479",
            "telephone_number": "801-818-1940",
            "fax_number": "801-818-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "TYLER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "88800784405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.