Individual provider Active NPI

Tyler J Thomas, CRNP

  • Nurse Practitioner
  • Lancaster, PA
National Provider Identifier
1801381561
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019045 Issued in PA
Practice address
217 Harrisburg Ave
Lancaster, PA 17603
Phone
(717) 544-8300
Fax
(717) 544-8265
NPI assigned
Jun 26, 2018
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X RN648252 PA
Nurse Practitioner 363L00000X SP019045 PA Primary

Addresses

Primary practice location

217 Harrisburg Ave
Lancaster, PA 17603

Mailing address

217 Harrisburg Ave
Lancaster, PA 17603-2964
Phone (717) 544-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180925001190 PA Practitioner - Nurse Practitioner 8820349236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

121 N Nyes Rd
Suite E
Harrisburg, PA 17112-3248
Phone (717) 703-3649

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN648252PAMDGerontology Registered Nurse
SP019045PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physician Group CurrentSince May 23, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince May 23, 2022 Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients

Locations

3025 Market St
Ste A
Camp Hill, PA 17011
Phone (717) 761-8900

3025 Market St
Ste B
Camp Hill, PA 17011
Phone (717) 691-1212

121 N Nyes Rd
Ste E
Harrisburg, PA 17112
Phone (717) 703-3649

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

2221 Noll Dr
Fl 1
Lancaster, PA 17603
Phone (717) 531-3828

Organizations & group practices 4

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 2

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1801381561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "PA",
            "license": "RN648252",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.