DELLI RAE TYLER DO
NPI 1093455263
Family Medicine in Fort Smith, AR
About Delli Rae Tyler Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELLI RAE TYLER DO (NPI 1093455263) is an individual family medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E-20095) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Delli Rae Tyler Do 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 Reassignment
Medicare enrollment records show Delli Tyler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Smith, AR 72916
- Reassigned Medicare billing, Arkansas enrollment
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 72916 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SMITH, AR 72916
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 Delli Tyler's NPI number?
The NPI number for Delli Tyler is 1093455263. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is Delli Tyler located?
Delli Tyler practices at 11300 Roberts Blvd, Fort Smith, AR 72916. The listed phone number is (479) 242-5910.
What is Delli Tyler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Delli Tyler enrolled in Medicare?
Yes. Delli Tyler 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 Delli Tyler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Delli Tyler reassigns Medicare benefits to Primary Care Collective, PLLC (Fort Smith, AR). 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 Delli Tyler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Delli Tyler accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Delli Tyler 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 Delli Tyler was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.
# Delli Rae Tyler, DO · NPI 1093455263
Family Medicine physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1093455263 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E-20095 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11300 ROBERTS BLVD, Fort Smith, AR 72916-6027
- **Phone:** (479) 242-5910 · **Fax:** (479) 242-1469
## 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:** Primary Care Collective, PLLC (NPI 1013871714, Fort Smith, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1093455263) · Data from the CMS NPPES public registry.