Individual provider Active NPI

Tyler Thomas Zehr

  • Physician Assistant
  • Coeur D Alene, ID
National Provider Identifier
1811627227
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3771287 Issued in ID
Practice address
212 S 11TH St Ste 3
Coeur D Alene, ID 83814-4000
Phone
(208) 274-0167
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3771287 ID Primary

Addresses

Primary practice location

212 S 11TH St Ste 3
Coeur D Alene, ID 83814-4000

Mailing address

212 S 11TH St Ste 3
Coeur D Alene, ID 83814-4000
Phone (208) 274-0167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 19, 2026 through May 19, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Univeristy of Texas Rio Grande Valley Med School, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preventative Care Health Services IncGroup PAC ID 5193823045, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

210 S Summer St
Marfa Community Heatlh Clinic
Marfa, TX 79843-0267
Phone (432) 729-1812

P O Box
Suite 267
Marfa, TX 79843-0267

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3771287IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preventative Care Health Services, Inc. CurrentSince May 5, 2024 Accepting new patients
Preventative Care Health Services, Inc CurrentSince May 5, 2024 Accepting new patients
Preventative Care Health Service, Inc. Past Accepting new patients

Locations

1707 N 4th St
Alpine, TX 79830
Phone (432) 837-4555

1605 N State Highway 118
Alpine, TX 79830
Phone (432) 837-4812

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tyler.zehrpa.p1@direct.preventativehealth.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1811627227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 11TH ST STE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144000",
            "telephone_number": "208-274-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 11TH ST STE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144000",
            "telephone_number": "208-274-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEHR",
        "first_name": "TYLER",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "3771287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.