Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TYLER WUNDRACH PA-C
NPI 1033894910
Physician Assistant in Clinton Twp, MI

Active since June 19, 2023PECOS Enrolled
15855 19 MILE RD, CLINTON TWP, MI 48038(586) 263-2320(586) 203-1050 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Jun 19, 2023 (2 updates tracked since 2023).

About Tyler Wundrach Pa-c NPPES

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

TYLER WUNDRACH PA-C (NPI 1033894910) is an individual physician assistant in Clinton Twp, Michigan, licensed in Michigan (5601011785) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Hurley Medical Center, and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1033894910
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER WUNDRACHCredential: PA-C
Location Address15855 19 MILE RDClinton Twp, MI 48038-3504
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 999-5829 · Fax (313) 876-1305
Fax(586) 203-1050
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2023
Enumeration DateJune 19, 2023
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1033894910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601011785
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 5601011785 (MI)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 5601011785 (MI)
15855 19 MILE RD, Clinton Twp, MI 48038

Secondary Practice Location 1

Location 11 Hurley Plz # 7BFlint, MI 48503-5902 · Phone (810) 262-9355 · Fax (810) 262-6341

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

Tyler Wundrach Pa-c 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 ID5496117459
PECOS Enrollment IDI20230808004025
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hurley Medical Center

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230132
LocationOne Hurley PlazaFlint, MI 48503 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038

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 Tyler Wundrach's NPI number?

The NPI number for Tyler Wundrach is 1033894910. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Tyler Wundrach located?

Tyler Wundrach practices at 15855 19 Mile Rd, Clinton Twp, MI 48038. The listed phone number is (586) 263-2320.

What is Tyler Wundrach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tyler Wundrach enrolled in Medicare?

Yes. Tyler Wundrach 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 Tyler Wundrach accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Tyler Wundrach 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.

Is Tyler Wundrach affiliated with any hospitals?

According to CMS data, Tyler Wundrach is affiliated with Hurley Medical Center.

When was this NPI record last updated?

The NPPES record for Tyler Wundrach was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.