Tyson Lee Langeliers, PA -C, ATC, LAT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

51600 Huntington Rd
La Pine, OR 97739

Phone

(541) 536-3435

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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.

• La Pine Community Health Center

  • Federally Qualified Health Center (FQHC)
  • La Pine, OR
  • NPI 1639316193
  Medicare reassignment Care Compare group NPD OR
• La Pine Community Health Center

  • Federally Qualified Health Center (FQHC)
  • La Pine, OR
  • NPI 1063825776
  Care Compare group
• La Pine Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Gilchrist, OR
  • NPI 1669889341
  Care Compare group
• La Pine Community Health Center

  • Radiology Clinic/Center
  • La Pine, OR
  • NPI 1225865876
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cascade Healthcare Community Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Bend, OR
  • NPI 1164675963
  Care Compare affiliation Hospital
• St. Charles Health System, Inc.

  • General Acute Care Hospital
  • Bend, OR
  • NPI 1982621447
  Care Compare affiliation Hospital

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Pine Community Health Center 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

Medicare fee-for-service enrollment

Enrolled in OR

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlangeliers236098@direct.ochin.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2018.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1861429482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393300",
            "telephone_number": "541-536-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "97739",
            "telephone_number": "541-536-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGELIERS",
        "first_name": "TYSON",
        "middle_name": "LEE",
        "credential": "PA -C, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-223",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Pine Community Health Center
• La Pine Community Health Center
• La Pine Community Health Center
• La Pine KTC, LLC
• La Pine Rural Fire Protection District
• Lapine Community Clinic, LLC
• Casey Scott Law, MD
• Rio Lion, D.O
• Alyssa Jeane Lohner
• Ashley Paige Mackay

• All providers in La Pine, OR
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.