Individual provider Active NPI

Tyler Buchanan, FNP

  • Family Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1962985606
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
85486 Issued in NM
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181101002399 TX Practitioner - Nurse Practitioner 0042563454 Reassigns benefits to 1 organization
I20251006001216 NM Practitioner - Nurse Practitioner 0042563454 Reassigns benefits to 1 organization

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
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians
Dynamic Healthcare LLCGroup PAC ID 0345649083, 7 clinicians

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

LicenseStateTypeSpecialty
85486NMMDFamily Nurse Practitioner
AP135105TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC CurrentSince Aug 2, 2023 Accepting new patients
TMC Provider Group PLLC CurrentSince Aug 2, 2023 Accepting new patients
Dynamic Healthcare LLC Family CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.