Individual provider Active NPI

Tyler Amnie Bayliss, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Washington, IA
National Provider Identifier
1629753108
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A174811 Issued in IA
Practice address
1230 S Iowa Ave
Washington, IA 52353-1144
Phone
(319) 653-7291
NPI assigned
Jun 21, 2023
Last updated
Jun 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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 A174811 IA Primary

Addresses

Primary practice location

1230 S Iowa Ave
Washington, IA 52353-1144

Mailing address

19191 330TH Ave
Keota, IA 52248-8554
Phone (319) 330-4777

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230810000378 IA Practitioner - Nurse Practitioner 2466814330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County HospitalGroup PAC ID 2062329931, 39 clinicians

Practice addresses (Care Compare)

1230 S Iowa Ave
Washington, IA 52353-1144
Phone (319) 653-7291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
A174811IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Hospital CurrentSince Jan 1, 2026 Accepting new patients
Washington County Hospital CurrentSince Aug 1, 2023 Accepting new patients
Washington County Hospital CurrentSince Aug 1, 2023 Accepting new patients
Washington County Hospital Past Accepting new patients

Locations

1230 S Iowa Ave
Washington, IA 52353
Phone (319) 653-4271

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1629753108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19191 330TH AVE",
            "city": "KEOTA",
            "state": "IA",
            "postal_code": "522488554",
            "telephone_number": "319-330-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531144",
            "telephone_number": "319-653-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLISS",
        "first_name": "TYLER",
        "middle_name": "AMNIE",
        "credential": "MSN, RN,  FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A174811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.