NPIMap

Individual provider Active NPI

Rachael Marie Tylka, CRNP

  • Family Nurse Practitioner
  • Latrobe, PA
National Provider Identifier
1679126049
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020547 Issued in PA
Practice address
10 Liberty LN
Latrobe, PA 15650-2772
Phone
(724) 537-9208
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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 SP020547 PA Primary

Addresses

Primary practice location

10 Liberty LN
Latrobe, PA 15650-2772

Mailing address

423 Fayette St
Latrobe, PA 15650-5341

Other names 1

  • Rachael Marie Crosby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200921002420 PA Practitioner - Nurse Practitioner 7113345315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sung and Ward IncGroup PAC ID 8628016888, 8 clinicians

Practice addresses (Care Compare)

10 Liberty LN
Latrobe, PA 15650-2772
Phone (724) 537-9208

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020547PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sung and Ward Inc CurrentSince Jun 11, 2020 Accepting new patients

Locations

10 Liberty Ln
Latrobe, PA 15650
Phone (412) 537-9208

Interoperability endpoints

  • Direct secure messaging: rtylka74199@direct.acumenmd.com

Organizations & group practices 1

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 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1679126049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 FAYETTE ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156505341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LIBERTY LN",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502772",
            "telephone_number": "724-537-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLKA",
        "first_name": "RACHAEL",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "CROSBY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.