Tyler Lufholm, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5379915071 Issued in KS

Practice address

2509 W 18TH Ave
Emporia, KS 66801-6105

Phone

(620) 341-9335

Fax

(620) 208-9335

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Nurse Practitioner

Education

University of Missouri, Kansas City, School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Cancer Specialists LLC 44 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

52.91 of 100Reported as group

Quality

60.37

Promoting interoperability

0

Improvement activities

40

Cost

65.99

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler@ksderm.emadirect.md

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.

• Dermatology and Skin Cancer Specialists, LLC

  • Dermatology Physician
  • Leawood, KS
  • NPI 1205880846

  KS

  Medicare reassignment Care Compare group NPD
• Dermatology and Skin Cancer Specialists, LLC.

  • Dermatology Physician
  • Lees Summit, MO
  • NPI 1366632697
  Care Compare group NPD (past)
• Advanced Dermatology and Skin Cancer Center, PA

  • Dermatology Physician
  • Manhattan, KS
  • NPI 1124094867
  NPD
• Skin & Mohs Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Leawood, KS
  • NPI 1669577524
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1609468396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 PEMBROOK PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665027482",
            "telephone_number": "785-537-4990",
            "fax_number": "785-537-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W 18TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668016105",
            "telephone_number": "620-341-9335",
            "fax_number": "620-208-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2735 Pembrook Pl",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665027482",
            "country_code": "US",
            "telephone_number": "785-537-4990",
            "fax_number": "785-537-1938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16116 W 125th Pl",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660621147",
            "country_code": "US",
            "telephone_number": "913-387-7364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W 13th St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "KS",
            "postal_code": "660673545",
            "country_code": "US",
            "telephone_number": "785-521-7111",
            "fax_number": "620-208-9335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUFHOLM",
        "first_name": "TYLER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5379915071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LMC Services
• Robyn Elizabeth Long, PH.D.
• Jade Mari Longfellow
• Cristian Lopez Azompa
• Vicki J Love, LPN
• Jessica N Lynch, PA-C
• Lyon County
• Lyons Case Management Services
• Abby Ann Lyons, MSP
• Sarah Denise Madgwick

• All providers in Emporia, KS
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.