Individual provider Active NPI

Tyler Musgrave, DC, MS

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1558713719
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2210 Issued in NE
Practice address
6132 Havelock Ave Apt 1
Lincoln, NE 68507-1225
Phone
(402) 705-5019
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2210 NE Primary

Addresses

Primary practice location

6132 Havelock Ave Apt 1
Lincoln, NE 68507-1225

Mailing address

6132 Havelock Ave Apt 1
Lincoln, NE 68507-1225
Phone (402) 705-5019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311000457 NE Practitioner - Chiropractic 5799206454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Havelock Chiropractic Center PCGroup PAC ID 4385614312, 2 clinicians

Practice addresses (Care Compare)

6132 Havelock Ave
Lincoln, NE 68507-1200
Phone (402) 467-5143

6132 Havelock Ave
Apt 1
Lincoln, NE 68507-1225
Phone (402) 467-5143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2210NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Havelock Chiropractic Center PC Chiropractor CurrentSince Feb 14, 2025 Accepting new patients
Musgrave Chiropractic and Family Wellness LLC Chiropractor Current Accepting new patients

Locations

6132 Havelock Ave
Lincoln, NE 68507
Phone (402) 467-5143

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.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1558713719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 HAVELOCK AVE APT 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071225",
            "telephone_number": "402-705-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 HAVELOCK AVE APT 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685071225",
            "telephone_number": "402-705-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSGRAVE",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.

Verify at the official NPI Registry.