Individual provider Active NPI

Tyler Christian White, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Grand Island, NE
National Provider Identifier
1922460518
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
34051 Issued in NE
Practice address
620 N Diers Ave Ste 200
Grand Island, NE 68803-4985
Phone
(308) 384-5400
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 68785 MN
Orthopaedic Surgery of the Spine Physician 207XS0117X 34051 NE Primary

Addresses

Primary practice location

620 N Diers Ave Ste 200
Grand Island, NE 68803-4985

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twhite552398@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220719001591 NE Practitioner - Orthopedic Surgery 0244538429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nebraska College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Nebraska Orthopedics and Sports Medicine PCGroup PAC ID 8123077518, 13 clinicians

Practice addresses (Care Compare)

620 N Diers Ave
Grand Island, NE 68803-4984
Phone (308) 384-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion218
Laminectomy or laminotomy (partial removal of spine bones)90
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68785MNMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nebraska Orthopedics & Sports Medicine, P.C. Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Foot & Ankle Clinic of Central Nebraska PC PastSince Aug 1, 2022 Accepting new patients

Locations

620 N Diers Ave
Grand Island, NE 68803
Phone (308) 382-0344

620 N Diers Ave
Ste 200
Grand Island, NE 68803
Phone (308) 244-4111

Interoperability endpoints

  • Direct secure messaging: twhite552398@excellian.direct.allina.com
  • Direct secure messaging: twhite60379@direct.nebraskamed.com
  • Direct secure messaging: tyler.whitemd.p1@direct.cnorthopedics.nextgenshare.com

Organizations & group practices 2

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 6

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1922460518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N DIERS AVE STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034985",
            "telephone_number": "308-384-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TYLER",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "68785",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NE",
            "license": "34051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twhite552398@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "8100 W 78th St Ste 230",
            "city": "Edina",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554392570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.