MARETHA TYCE NP
NPI 1083008254
Nurse Practitioner - Family in San Bernardino, CA
About Maretha Tyce Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARETHA TYCE NP (NPI 1083008254) is an individual family provider in San Bernardino, California, licensed in California (95002142) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Maretha Tyce Np 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 Maretha Tyce reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Bernardino, CA 92405
- Reassigned Medicare billing, California enrollment
- 455 clinicians in this Medicare group
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 49 clinicians in this Medicare group
Riverside, CA 92506
- Reassigned Medicare billing, California enrollment
- 8 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 92405 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Maretha Tyce's NPI number?
The NPI number for Maretha Tyce is 1083008254. It was assigned to this individual provider in the NPPES registry on March 25, 2015.
Where is Maretha Tyce located?
Maretha Tyce practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 881-7320.
What is Maretha Tyce's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maretha Tyce enrolled in Medicare?
Yes. Maretha Tyce 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 Maretha Tyce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maretha Tyce reassigns Medicare benefits to 3 organizations: Sac Health System (San Bernardino, CA), San Marcos Medical Group Inc (Fontana, CA) and Raincross Urgent Care, Inc. (Riverside, CA). 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 Maretha Tyce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maretha Tyce was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Maretha Tyce, NP · NPI 1083008254
Family physician in San Bernardino, California. Individual provider, active in the CMS NPPES registry since March 25, 2015.
## Identity
- **NPI:** 1083008254 (Entity type: Individual)
- **Enumerated:** March 25, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95002142 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 742 W HIGHLAND AVE, San Bernardino, CA 92405-3839
- **Phone:** (909) 881-7320
## 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): Sac Health System (NPI 1013935923, San Bernardino, CA); San Marcos Medical Group Inc (NPI 1447446448, Fontana, CA); Raincross Urgent Care, Inc. (NPI 1932615077, Riverside, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 5, 2016
- **Other identifiers:** Medicaid 1083008254 (CA); Medicare UPIN CA197128 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083008254) · Data from the CMS NPPES public registry.