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MR. TYLER LEE ANDERSON PA-C
NPI 1083927792
Physician Assistant - Medical in Clarkston, WA

Active since July 22, 2010PECOS Enrolled
1119 HIGHLAND AVE STE 4, CLARKSTON, WA 99403(509) 254-0080(509) 254-0079 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Tyler Lee Anderson Pa-c NPPES

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

MR. TYLER LEE ANDERSON PA-C (NPI 1083927792) is an individual medical provider in Clarkston, Washington, licensed in Washington (PA10003435) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083927792
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. TYLER LEE ANDERSONCredential: PA-C
Location Address1119 HIGHLAND AVE STE 4Clarkston, WA 99403-2836
Mailing Address1119 Highland Ave Ste 4Clarkston, WA 99403-2836 · (509) 254-0080 · Fax (509) 254-0079
Phone(509) 254-0080
Fax(509) 254-0079
Sole ProprietorNo
Enumeration DateJuly 22, 2010
✔ NPI 1083927792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10003435
1119 HIGHLAND AVE STE 4, Clarkston, WA 99403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tyler Lee Anderson Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers49 claims130 services$6.02 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims17 services$1.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier26 claims28 services$16.58 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$92.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier17 claims17 services$4.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier38 claims38 services$92.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Anderson's NPI number?

The NPI number for Tyler Anderson is 1083927792. It was assigned to this individual provider in the NPPES registry on July 22, 2010.

Where is Tyler Anderson located?

Tyler Anderson practices at 1119 Highland Ave Ste 4, Clarkston, WA 99403. The listed phone number is (509) 254-0080.

What is Tyler Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tyler Anderson enrolled in Medicare?

Yes. Tyler Anderson is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Anderson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tyler Anderson 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 Anderson was last updated on July 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.