Tyler D. Hauswald, PA-C
Individual provider Active NPI Physician Assistant · Wahoo, NE
NPI 1740270446 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1740270446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- NE00935 (NE)
- Practice address
- 1760 County Road J
Saunders Medical Center
Wahoo, NE 68066-4152 - Phone
- (402) 443-4191
- Fax
- (402) 443-1402
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saunders Medical Center
Practice addresses (Care Compare)
1760 County Rd J
Wahoo, NE 68066-4152
Phone (402) 443-4191
Hospital & facility affiliations
- Hospice and Home Healthcare of Saunders County
- Saunders Medical Center
- CHI Health St. Elizabeth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040902000800 | NE | Practitioner - Physician Assistant | 7315913274 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001410 | IA | MD | Physical Therapy Assistant |
| 935 | NE | MD | Speech-Language Pathologist |
| NE00935 | NE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saunders Medical Center | Current |
Accepting new patients | |
| Saunders Medical Center | Current | Accepting new patients | |
| Saunders Medical Center | Past | Accepting new patients |
Locations
1760 County Road J
Wahoo, NE 68066
Phone (402) 443-4191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 935 | NE | |
| Physician Assistant | 363A00000X | NE00935 | NE | Yes |
Addresses
Primary practice location
1760 County Road J
Saunders Medical Center
Wahoo, NE 68066-4152
Mailing address
1760 County Road J
Saunders Medical Center
Wahoo, NE 68066-4152
Phone (402) 443-4191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 554935245 | Medicaid | NE | |
| 236616 | Other | NE | MIDLANDS CHOICE |
| 06685 | Other | NE | BLUE CROSS BLUE SHIELD |
Other providers in Wahoo, NE
- Monica K Govind
- Michelle Renee Hall
- Leaha M Hammer
- Morgan Hancock-Stewart
- Thomas G Hart
- Heritage of Wahoo, Inc
- Sarah Marie Herndon
- Abigail Hiebner
- Gailanne M Hindsley
- Alyxandra Terra Hipnar
All providers in Wahoo, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.