TYLER KEENUM CRNP
NPI 1073041505
Nurse Practitioner in Tuscaloosa, AL
About Tyler Keenum Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER KEENUM CRNP (NPI 1073041505) is an individual nurse practitioner in Tuscaloosa, Alabama, licensed in Alabama (1-142399) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyler Keenum Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tyler Keenum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Alabama enrollment
- Also billed through NPI 1033637434 (Alabama)
- 24 clinicians in this Medicare group
Tuscaloosa, AL 35401
- Reassigned Medicare billing, Alabama enrollment
- 307 clinicians in this Medicare group
Tuscaloosa, AL 35405
- Reassigned Medicare billing, Alabama enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSCALOOSA, AL 35401
TUSCALOOSA, AL 35401
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 Keenum's NPI number?
The NPI number for Tyler Keenum is 1073041505. It was assigned to this individual provider in the NPPES registry on May 29, 2017.
Where is Tyler Keenum located?
Tyler Keenum practices at 2703 7th St, Tuscaloosa, AL 35401. The listed phone number is (205) 759-8470.
What is Tyler Keenum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tyler Keenum enrolled in Medicare?
Yes. Tyler Keenum 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.
Which organizations bill Medicare for Tyler Keenum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Keenum reassigns Medicare benefits to 3 organizations: West Alabama Aids Outreach Inc (Tuscaloosa, AL), Capstone Health Services Foundation PC (Tuscaloosa, AL) and West Alabama Women's Center Inc. (Tuscaloosa, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Keenum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Keenum accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Cigna Healthcare and 1 other insurer list Tyler Keenum 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 Tyler Keenum was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Tyler Keenum, CRNP · NPI 1073041505
Nurse Practitioner physician in Tuscaloosa, Alabama. Individual provider, active in the CMS NPPES registry since May 29, 2017.
## Identity
- **NPI:** 1073041505 (Entity type: Individual)
- **Enumerated:** May 29, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1-142399 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2703 7TH ST, Tuscaloosa, AL 35401-1865
- **Phone:** (205) 759-8470 · **Fax:** (205) 366-9001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): West Alabama Aids Outreach Inc (NPI 1619731361, Tuscaloosa, AL); Capstone Health Services Foundation PC (NPI 1740397751, Tuscaloosa, AL); West Alabama Women's Center Inc. (NPI 1811974603, Tuscaloosa, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073041505) · Data from the CMS NPPES public registry.