Individual provider Active NPI

Megan Karin Tyndall, FNP-C, DNP

  • Family Nurse Practitioner
  • Berlin, MD
National Provider Identifier
1861915779
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R235984 Issued in MD
Practice address
9950 Main St
Berlin, MD 21811
Phone
(410) 912-6710
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R235984 MD
Family Nurse Practitioner 363LF0000X R235984 MD Primary

Addresses

Primary practice location

9950 Main St
Berlin, MD 21811

Mailing address

7903 Queponco Rd
Newark, MD 21841-2333
Phone (302) 858-2191

Other names 1

  • Ms. Megan Karin Pusey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230929003494 MD Practitioner - Nurse Practitioner 7315391976 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
Telehealth
Offers telehealth services
Group practices
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

Practice addresses (Care Compare)

400 Eastern Shore Dr
Salisbury, MD 21804-5513
Phone (410) 543-8240

9950 N Main St
Berlin, MD 21811-1076
Phone (410) 912-6710

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC CurrentSince Jul 31, 2023 Accepting new patients
Tidalhealth Primary Care, LLC PastSince Jul 31, 2023 Accepting new patients
Tidalhealth Peninsula Regional, Inc. PastSince Jul 31, 2023 Accepting new patients

Locations

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

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 5

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": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1861915779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7903 QUEPONCO RD",
            "city": "NEWARK",
            "state": "MD",
            "postal_code": "218412333",
            "telephone_number": "302-858-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 MAIN ST",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-912-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "MEGAN",
        "middle_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "FNP-C, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2023-07-24",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R235984",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R235984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "PUSEY",
            "middle_name": "KARIN",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.