Individual provider Active NPI

Madison D Tyler, APRN

  • Adult Health Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1972322527
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11036063 Issued in FL
Practice address
725 Rodel CV Ste 200
Lake Mary, FL 32746-4859
Phone
(407) 302-3119
Fax
(407) 302-7038
NPI assigned
Oct 9, 2024
Last updated
Nov 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11036063 FL Primary
Family Nurse Practitioner 363LF0000X 9421643 FL

Addresses

Primary practice location

725 Rodel CV Ste 200
Lake Mary, FL 32746-4859

Mailing address

725 Rodel CV Ste 200
Lake Mary, FL 32746-4859
Phone (407) 302-3119

Other practice location 1

725 Rodel Cv
Lake Mary, FL 32746-4859
Phone (407) 302-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241031004133 FL Practitioner - Nurse Practitioner 5294268082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Physicians Network IncGroup PAC ID 7719026251, 231 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

725 Rodel CV
Lake Mary, FL 32746-4859
Phone (407) 767-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11036063FLMDAdult Health Nurse Practitioner
9421643FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

725 Rodel Cv
Lake Mary, FL 32746
Phone (407) 302-3119

725 Rodel Cv
Ste 200
Lake Mary, FL 32746
Phone (407) 302-3119

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 1

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": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1972322527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RODEL CV STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3119",
            "fax_number": "407-302-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RODEL CV STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464859",
            "telephone_number": "407-302-3119",
            "fax_number": "407-302-7038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Rodel Cv",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327464859",
            "country_code": "US",
            "telephone_number": "407-302-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MADISON",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11036063",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9421643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.