Individual provider Active NPI

Steven Dale Tysinger, FNP

  • Family Nurse Practitioner
  • Thomasville, NC
National Provider Identifier
1942306576
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201977 Issued in NC
Practice address
207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone
(336) 476-2450
NPI assigned
Sep 14, 2006
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201977 NC Primary

Addresses

Primary practice location

207 Old Lexington Rd
Thomasville, NC 27360-3428

Mailing address

1101 Denton Rd
Denton, NC 27239-8806
Phone (336) 859-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050405001271 NC Practitioner - Nurse Practitioner 4183671738 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Emergency Services, P.a.Group PAC ID 1153358171, 24 clinicians

Practice addresses (Care Compare)

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 765-9328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.52 of 100Reported as group
Quality
83.13
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tanglewood Park Physicians, PLLC CurrentSince Apr 1, 2019 Accepting new patients
Piedmont Triad Physicians, PLLC CurrentSince Mar 1, 2019 Accepting new patients
Forsyth Emergency Services, P.a. CurrentSince Nov 14, 2015 Accepting new patients
Kernersville Emergency Group, PLLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 4

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 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1942306576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 DENTON RD",
            "city": "DENTON",
            "state": "NC",
            "postal_code": "272398806",
            "telephone_number": "336-859-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OLD LEXINGTON RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603428",
            "telephone_number": "336-476-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSINGER",
        "first_name": "STEVEN",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.