Individual provider Active NPI

Tyler Winkler Atwell, FNP

  • Family Nurse Practitioner
  • Fairhope, AL
National Provider Identifier
1831954957
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-180636 Issued in AL
Practice address
8096 Twin Beech Rd
Fairhope, AL 36532-7194
Phone
(251) 278-6795
Fax
(251) 210-0273
NPI assigned
Feb 19, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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 1-180636 AL Primary

Addresses

Primary practice location

8096 Twin Beech Rd
Fairhope, AL 36532-7194

Mailing address

8096 Twin Beech Rd
Fairhope, AL 36532-7194
Phone (251) 278-6795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240503003381 AL Practitioner - Nurse Practitioner 3577903723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Fairhope LLCGroup PAC ID 7012395809, 6 clinicians

Practice addresses (Care Compare)

8096 Twin Beech Rd
Unit 150
Fairhope, AL 36532-7346
Phone (251) 278-6795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-180636ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Fairhope LLC CurrentSince Feb 26, 2024 Accepting new patients

Locations

8096 Twin Beech Rd
Unit 150
Fairhope, AL 36532
Phone (251) 278-6795

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24592/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1831954957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327194",
            "telephone_number": "251-278-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 TWIN BEECH RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365327194",
            "telephone_number": "251-278-6795",
            "fax_number": "251-210-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWELL",
        "first_name": "TYLER",
        "middle_name": "WINKLER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-180636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.