Active NPI
Tyler Buchanan, FNP
- Family Nurse Practitioner
- Clovis, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 85486
- Practice address
- 912 W 21St St
Clovis, NM 88101-4149 - Phone
- (575) 935-9000
- Fax
- (575) 935-1002
- NPI assigned
- Sep 10, 2018
- Last updated
- Sep 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 85486 | NM | Primary |
| Family Nurse Practitioner | 363LF0000X | AP135105 | TX |
Addresses
Primary practice location
912 W 21St St
Clovis, NM 88101-4149
Mailing address
912 W 21St St
Clovis, NM 88101-4149
Phone (575) 935-9000
Other practice location 1
9812 Slide Rd
Lubbock, TX 79424-5781
Phone (806) 725-8690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1922 State Hwy 46 W
New Braunfels, TX 78132-5245
Phone (830) 632-5092
23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617
8341 Agora Pkwy
Selma, TX 78154-1316
Phone (210) 659-5533
912 W 21St St
Clovis, NM 88101-4154
Phone (575) 935-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85486 | NM | MD | Family Nurse Practitioner |
| AP135105 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMC Provider Group PLLC | Current | Accepting new patients | |
| TMC Provider Group PLLC | Current | Accepting new patients | |
| Dynamic Healthcare LLC | Family | Current | Accepting new patients |
Locations
912 W 21st St
Clovis, NM 88101
Phone (505) 762-4455
9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577
13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577
23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617
Interoperability endpoints
- tbuchanan1928941@oc.providencedirect.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Clovis, NM
- NPI 1093396160
-
dba Texas MedClinic
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1053784660
-
dba Texas MedClinic
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1033968789
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Plains Regional Medical Center
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1962985606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 W 21ST ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014149",
"telephone_number": "575-935-9000",
"fax_number": "575-935-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 W 21ST ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014149",
"telephone_number": "575-935-9000",
"fax_number": "575-935-1002"
}
],
"practiceLocations": [
{
"address_1": "9812 Slide Rd",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794245781",
"country_code": "US",
"telephone_number": "806-725-8690",
"fax_number": "806-725-8691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHANAN",
"first_name": "TYLER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-10",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "85486",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP135105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.