Individual provider Active NPI

Tyler Wayne Jones, MD

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1902300353
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0064706 Issued in CO
Practice address
4318 Trail Boss Dr Ste 100
Castle Rock, CO 80104-7512
Phone
(303) 338-4545
NPI assigned
Mar 21, 2018
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0064706 CO Primary

Addresses

Primary practice location

4318 Trail Boss Dr Ste 100
Castle Rock, CO 80104-7512

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Other practice location 1

12055 W 2nd Pl
Lakewood, CO 80228-1506
Phone (303) 360-6276

Other identifiers 2

IdentifierTypeStateIssuer
029677OtherCOKAISER COMMERCIAL NUMBER
9000161841MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230116000669 CO Practitioner - Family Practice 1355698895 Reassigns benefits to 2 organizations
I20251111001082 OK Practitioner - Family Practice 1355698895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

836 Garth Brooks Blvd
Suite 215
Yukon, OK 73099-3890
Phone (405) 494-3370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0064706COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Oct 5, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
Colorado Permanente Medical Group, P.C. CurrentSince Apr 21, 2025 Accepting new patients
Metro Community Provider Network, Inc. CurrentSince Oct 5, 2022 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Nov 1, 2025 Accepting new patients

Locations

4318 Trail Boss Dr
Ste 100
Castle Rock, CO 80104
Phone (303) 594-5133

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

2255 S Oneida St
Denver, CO 80224

12055 W 2nd Pl
Lakewood, CO 80228
Phone (303) 425-4480

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

836 Garth Brooks Blvd
Ste 215
Yukon, OK 73099
Phone (405) 494-3370

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1902300353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 TRAIL BOSS DR STE 100",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-338-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12055 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281506",
            "country_code": "US",
            "telephone_number": "303-360-6276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TYLER",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0064706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "029677",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000161841",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4318 Trail Boss Dr Ste 100",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801047512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.