VINCENT TYSON
NPI 1003245457
Nurse Practitioner - Gerontology in Oakland Park, FL

Active since November 06, 2013PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
5333 N DIXIE HWY STE 110, OAKLAND PARK, FL 33334(954) 772-8554 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2024, Sep 2, 2020 (2 updates tracked since 2020).

About Vincent Tyson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINCENT TYSON (NPI 1003245457) is an individual gerontology provider in Oakland Park, Florida, licensed in Washington (AP61299531) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1003245457
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameVINCENT TYSON
Location Address5333 N DIXIE HWY STE 110Oakland Park, FL 33334-3453
Mailing Address441 Se 3rd CtDeerfield Beach, FL 33441-4727 · (516) 661-1805
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 6, 2013
Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2024
NPI 1003245457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in WA · AP61299531
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License SPO13376 (PA), 11005143 (FL)
5333 N DIXIE HWY STE 110, Oakland Park, FL 33334

Secondary Practice Location 1

Location 1760 Carpenter LnPhiladelphia, PA 19119-3406 · Phone (215) 848-6880

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vincent Tyson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355572520
PECOS Enrollment IDI20251105002771
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33334 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
5333 N DIXIE HWY STE 110
OAKLAND PARK, FL 33334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Tyson's NPI number?

The NPI number for Vincent Tyson is 1003245457. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Where is Vincent Tyson located?

Vincent Tyson practices at 5333 N Dixie Hwy Ste 110, Oakland Park, FL 33334. The listed phone number is (954) 772-8554.

What is Vincent Tyson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Vincent Tyson enrolled in Medicare?

Yes. Vincent Tyson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vincent Tyson accept?

Health plans from Moda Health Plan, Inc. list Vincent Tyson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vincent Tyson was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.