Individual provider Active NPI

Tylon Staggs, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Portsmouth, OH
National Provider Identifier
1730669086
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0036302 Issued in OH
Practice address
571 Whitley LN Unit a
Portsmouth, OH 45662-9103
Phone
(740) 307-8800
Fax
(740) 793-3395
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0036302 OH Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 119926 WV

Addresses

Primary practice location

571 Whitley LN Unit a
Portsmouth, OH 45662-9103

Mailing address

571 Whitley LN Unit a
Portsmouth, OH 45662-9103

Other practice location 1

8357 Hayport Rd
Wheelersburg, OH 45694-1734
Phone (740) 206-7638

Other names 1

  • Tylon Boggs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240814002101 WV Practitioner - Nurse Practitioner 3274071881 Reassigns benefits to 1 organization
I20240917000455 OH Practitioner - Nurse Practitioner 3274071881 Reassigns benefits to 2 organizations
I20260626004527 PA Practitioner - Nurse Practitioner 3274071881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia Psych Services PLLCGroup PAC ID 2668868241, 11 clinicians
P360 Care Services PLLC Dba Psych 360Group PAC ID 0244624633, 25 clinicians
Alcove Ventures LLCGroup PAC ID 1456669605, 50 clinicians

Practice addresses (Care Compare)

Gallipolis Ferry, WV 25515
Phone (330) 536-3746

246 Friendship Cir
Beaver, PA 15009-9704
Phone (330) 536-3746

3567 Reserve Commons Dr
Suite 100
Medina, OH 44256-5344
Phone (330) 536-3746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036302OHMDPsychiatric/Mental Health Nurse Practitioner
119926WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alcove Ventures LLC Psychiatric/Mental Health CurrentSince May 5, 2024 Accepting new patients
West Virginia Psych. Services PLLC Psychiatric/Mental Health CurrentSince May 5, 2024 Accepting new patients
Open Chair Psychiatry & Mental Wellness Psychiatric/Mental Health CurrentSince Jun 1, 2026 Accepting new patients
Pinnacle Treatment Centers Oh-II, LLC PastSince Sep 1, 2020 Accepting new patients

Locations

10603 Detroit Ave
Cleveland, OH 44102
Phone (216) 226-0282

3593 Medina Rd
Medina, OH 44256
Phone (330) 664-9250

3567 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 664-9250

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1730669086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 WHITLEY LN UNIT A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456629103",
            "fax_number": "740-793-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 WHITLEY LN UNIT A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456629103",
            "telephone_number": "740-307-8800",
            "fax_number": "740-793-3395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8357 Hayport Rd",
            "address_purpose": "LOCATION",
            "city": "Wheelersburg",
            "state": "OH",
            "postal_code": "456941734",
            "country_code": "US",
            "telephone_number": "740-206-7638",
            "fax_number": "740-793-3395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "TYLON",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0036302",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "119926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYLON",
            "last_name": "BOGGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.