Active NPI
Michele L Tyler, FNP
- Family Nurse Practitioner
- Yonkers, NY
National Provider Identifier
1861704314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 335937
- Practice address
- 73 Market Street
Yonkers, NY 10710-4810 - Phone
- (914) 848-8085
- Fax
- (914) 848-8061
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 33335937 | NY | |
| Family Nurse Practitioner | 363LF0000X | 335937 | NY | Primary |
Addresses
Primary practice location
73 Market Street
Yonkers, NY 10710-4810
Mailing address
800 Westchester Avenue Suite N715
Rye Brook, NY 10573
Phone (914) 607-5730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03453752 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Buffalo School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
73 Market St
Yonkers, NY 10710-7602
Phone (914) 682-0700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33335937 | NY | MD | Family Nurse Practitioner |
| 335937 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Westchester Medical Group PC | Current | Accepting new patients | |
| Westchester Medical Group, P.C. | Current | Accepting new patients |
Locations
800 Westchester Ave
Ste N715
Rye Brook, NY 10573
Phone (914) 607-5730
210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100
73 Market St
Yonkers, NY 10710
Phone (914) 848-8030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- michele.tyler.1@21260.direct.athenahealth.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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Rye Brook, NY
- NPI 1881653822
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1184694291
-
- Durable Medical Equipment & Medical Supplies
- Greenwich, CT
- NPI 1790560878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1861704314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WESTCHESTER AVENUE SUITE N715",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "10573",
"telephone_number": "914-607-5730",
"fax_number": "914-457-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 MARKET STREET",
"city": "YONKERS",
"state": "NY",
"postal_code": "107104810",
"telephone_number": "914-848-8085",
"fax_number": "914-848-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "33335937",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "335937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03453752",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.