Individual provider Active NPI

Tyler J Shriver, DO

  • Family Medicine Physician
  • Hanover, KS
National Provider Identifier
1952975971
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PENDING Issued in KS
Practice address
205 S Hanover St
Hanover, KS 66945-8924
Phone
(785) 337-2214
Fax
(785) 337-2727
NPI assigned
May 14, 2021
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 PENDING KS Primary

Addresses

Primary practice location

205 S Hanover St
Hanover, KS 66945-8924

Mailing address

205 S Hanover St
Hanover, KS 66945-8924
Phone (785) 337-2214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240813002235 KS Practitioner - Family Practice 1153725494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanover HospitalGroup PAC ID 6709892078, shared by 3 NPIs, 4 clinicians

Practice addresses (Care Compare)

205 S Hanover St
Hanover, KS 66945-8924
Phone (785) 337-2214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGKSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Hospital Current Accepting new patients
Hanover Hospital Family Medicine CurrentSince Aug 9, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16855/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tyler.shriver.1@16855.direct.athenahealth.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 3

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1952975971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S HANOVER ST",
            "city": "HANOVER",
            "state": "KS",
            "postal_code": "669458924",
            "telephone_number": "785-337-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HANOVER ST",
            "city": "HANOVER",
            "state": "KS",
            "postal_code": "669458924",
            "telephone_number": "785-337-2214",
            "fax_number": "785-337-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIVER",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, KS

Sources for this page

Verify at the official NPI Registry.