TYRA DEAN-OUSLEY EDD, APN, FNP-BC
NPI 1073049722
Nurse Practitioner - Family in Orlando, FL

Q: What is Tyra Dean-ousley's NPI number?

The NPI number for Tyra Dean-ousley is 1073049722. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Q: What is Tyra Dean-ousley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tyra Dean-ousley was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 02, 2017PECOS Enrolled

235 E PRINCETON ST STE 200, ORLANDO, FL 32804(407) 303-1444(407) 303-1446 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 10, 2023, May 5, 2023 (2 updates tracked since 2023).

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About Tyra Dean-ousley Edd, Apn, Fnp-bc NPPES

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

TYRA DEAN-OUSLEY EDD, APN, FNP-BC (NPI 1073049722) is an individual family provider in Orlando, Florida, licensed in Illinois (277002442) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073049722

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTYRA DEAN-OUSLEYCredential: EDD, APN, FNP-BC

Location Address235 E PRINCETON ST STE 200Orlando, FL 32804-5555

Mailing Address11228 S Emerald AveChicago, IL 60628-4707 · (773) 425-9946

Phone(407) 303-1444

Fax(407) 303-1446

Sole ProprietorYes

Enumeration DateMay 2, 2017

Last NPPES UpdateMay 10, 20232 updates tracked since enumeration

NPPES CertifiedMay 10, 2023

✔ NPI 1073049722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IL · 277002442✔ Licensed in FL · APRN11023314✔ Licensed in IL · 209015881

235 E PRINCETON ST STE 200, Orlando, FL 32804

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Secondary Practice Locations 2

Location 111228 S Emerald AveChicago, IL 60628-4707 · Phone (773) 821-7155

Location 21276 N Clybourn AveChicago, IL 60610-2003 · Phone (312) 337-1073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyra Dean-ousley Edd, Apn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tyra Dean-ousley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fitness Clinic Wellness

589 mi

Physical Therapist

2219 GREENWAY DR
Jackson, MS 39204

Reassigned Medicare billing, Illinois enrollment
11 clinicians in this Medicare group

NPI 1912352022 (601) 983-7494

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 32804 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 18

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

SHANNON HUGHES APRN

Nurse Practitioner (Women's Health)