TYLER LYALL HANSON PA-C
NPI 1043031453
Physician Assistant - Medical in Lady Lake, FL

Active since October 18, 2024PECOS EnrolledAccepts Medicare Assignment
929 NORTH US HWY 441/27, SUITE 601, LADY LAKE, FL 32159(352) 633-0473(866) 208-9972 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Lyall Hanson Pa-c NPPES

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

TYLER LYALL HANSON PA-C (NPI 1043031453) is an individual medical provider in Lady Lake, Florida, licensed in Florida (PA9119365) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043031453
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTYLER LYALL HANSONCredential: PA-C
Location Address929 NORTH US HWY 441/27, SUITE 601Lady Lake, FL 32159
Mailing Address929 N Us Hwy 441 Ste 601Lady Lake, FL 32159-3003 · (352) 633-0473
Fax(866) 208-9972
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 18, 2024
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1043031453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9119365
929 NORTH US HWY 441/27, Lady Lake, FL 32159

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 Lyall Hanson 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 ID4981130192
PECOS Enrollment IDI20241211003683
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.

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 Hanson's NPI number?

The NPI number for Tyler Hanson is 1043031453. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Tyler Hanson located?

Tyler Hanson practices at 929 North Us Hwy 441/27 Suite 601, Lady Lake, FL 32159. The listed phone number is (352) 633-0473.

What is Tyler Hanson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tyler Hanson enrolled in Medicare?

Yes. Tyler Hanson 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.

When was this NPI record last updated?

The NPPES record for Tyler Hanson was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.