MARETHA TYCE NP
NPI 1083008254
Nurse Practitioner - Family in San Bernardino, CA

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405(909) 881-7320 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1083008254
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARETHA TYCECredential: NP
Location Address742 W HIGHLAND AVESan Bernardino, CA 92405-3839
Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 881-7320 · Fax (909) 881-7329
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2015
Last NPPES UpdateAugust 5, 2016
NPI 1083008254 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
License Licensed in CA · 95002142
742 W HIGHLAND AVE, San Bernardino, CA 92405

Other Identifiers 2

Medicaid1083008254CA
Medicare UPINCA197128CA

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

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.

PECOS PAC ID7517256456
PECOS Enrollment IDI20160517001662
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.

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.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

Internal Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Physician Assistant (Medical)
742 W HIGHLAND AVE
SAN BERNRDINO, CA 92405
Family Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Psychiatry & Neurology (Psychiatry)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Pediatrics
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

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.

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.