Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELIZABETH ANN TYNER PH.D.
NPI 1073772257
Psychologist - Clinical in Springfield, MO

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
526 NORTH PRINCE LANE, CORNERSTONE PSYCHOLOGICAL SERVICES, SPRINGFIELD, MO 65802(417) 818-1484 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Jan 27, 2016 (2 updates tracked since 2016).

About Dr. Elizabeth Ann Tyner Ph.d. NPPES

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

DR. ELIZABETH ANN TYNER PH.D. (NPI 1073772257) is an individual clinical provider in Springfield, Missouri, licensed in Missouri (2014039725) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1073772257
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELIZABETH ANN TYNERCredential: PH.D.
Location Address526 NORTH PRINCE LANE, CORNERSTONE PSYCHOLOGICAL SERVICESSpringfield, MO 65802
Mailing Address1200 W Linwood StSpringfield, MO 65807-1975 · (417) 234-8280
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 3, 2008
Last NPPES UpdateOctober 1, 20262 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1073772257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MO · 2014039725
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
526 NORTH PRINCE LANE, Springfield, MO 65802

Secondary Practice Locations 6

Location 133 Gage DrHollister, MO 65672-5862 · Phone (417) 605-7100 · Fax (417) 708-0889
Location 24722 E 32nd StJoplin, MO 64804-4411 · Phone (417) 605-7100 · Fax (417) 708-0889
Location 31721 W Elfindale StSpringfield, MO 65807-1295 · Phone (417) 605-7100 · Fax (417) 708-0889
Location 4500 NE Colbern RdLees Summit, MO 64086-4710 · Phone (417) 605-7100 · Fax (417) 708-0889
Location 52673 E Sawyer RdRepublic, MO 65738-7574 · Phone (417) 605-7100 · Fax (417) 708-0889
Location 62864 S Nettleton AveSpringfield, MO 65807-5970 · Phone (417) 605-7100 · Fax (417) 708-0889

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

Dr. Elizabeth Ann Tyner Ph.d. 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 ID3173840873
PECOS Enrollment IDI20150317001931
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 Elizabeth Tyner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2864 S NETTLETON AVE
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 24 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 65802 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
$161.24 typical visit price
range $52.28 – $161.24
Typical copayment $40.31 (range $13.07 – $40.31)
Most-billed visit code 99205
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Elizabeth Tyner's NPI number?

The NPI number for Elizabeth Tyner is 1073772257. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Elizabeth Tyner located?

Elizabeth Tyner practices at 526 North Prince Lane Cornerstone Psychological Services, Springfield, MO 65802. The listed phone number is (417) 818-1484.

What is Elizabeth Tyner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elizabeth Tyner enrolled in Medicare?

Yes. Elizabeth Tyner 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 organization bills Medicare for Elizabeth Tyner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Tyner reassigns Medicare benefits to The Arc Of The Ozarks (Springfield, MO). The 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 Elizabeth Tyner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Tyner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Elizabeth Tyner 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 Elizabeth Tyner was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.