TYLER J ANTENEN P.A.-C
NPI 1104377647
Physician Assistant in Kingman, KS

Active since October 19, 2016PECOS EnrolledAccepts Medicare Assignment
86.03/100
CMS Quality Rating
750 W D AVE, KINGMAN, KS 67068(620) 532-0295(855) 483-0002 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2025, Nov 8, 2022, Oct 8, 2021 and 1 more (4 updates tracked since 2016).

About Tyler J Antenen P.a.-c NPPES

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

TYLER J ANTENEN P.A.-C (NPI 1104377647) is an individual physician assistant in Kingman, Kansas, licensed in Kansas (1501947) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with Kingman Healthcare Center, and maintains a secondary practice location in Cunningham.

NPPES Registry Identity

NPI1104377647
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER J ANTENENCredential: P.A.-C
Location Address750 W D AVEKingman, KS 67068-1266
Mailing Address750 W D AveKingman, KS 67068-1266 · (620) 532-0295 · Fax (855) 483-0002
Fax(855) 483-0002
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 19, 2016
Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1104377647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KS · 1501947
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

750 W D AVE, Kingman, KS 67068

Secondary Practice Location 1

Location 1112 N Main StCunningham, KS 67035-8802 · Phone (620) 298-2397 · Fax (855) 290-4906

Other Identifiers 2

Medicaid20114690AKS
Medicaid30003916630006KS

Accepted Insurance

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

Tyler J Antenen P.a.-c 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 ID7113206988
PECOS Enrollment IDI20161118000114
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kingman Healthcare Center

Critical Access Hospitals · Kingman, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171378
Location750 W Ave DKingman, KS 67068 · Kingman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67068 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.15
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims24 services$1.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
750 W D AVE
KINGMAN, KS 67068
Physician Assistant
750 W D AVE
KINGMAN, KS 67068
Nurse Practitioner
750 W D AVE
KINGMAN, KS 67068
Podiatrist
750 W D AVE
KINGMAN, KS 67068
Audiologist
750 W D AVE
KINGMAN, KS 67068
Podiatrist (Primary Podiatric Medicine)
750 W D AVE
KINGMAN, KS 67068
Dietitian, Registered
750 W D AVE
KINGMAN, KS 67068
Clinic/Center (Radiology, Mobile)
750 W D AVE
KINGMAN, KS 67068

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 Antenen's NPI number?

The NPI number for Tyler Antenen is 1104377647. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Where is Tyler Antenen located?

Tyler Antenen practices at 750 W D Ave, Kingman, KS 67068. The listed phone number is (620) 532-0295.

What is Tyler Antenen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tyler Antenen enrolled in Medicare?

Yes. Tyler Antenen 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.

What insurance does Tyler Antenen accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Tyler Antenen 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.

Is Tyler Antenen affiliated with any hospitals?

According to CMS data, Tyler Antenen is affiliated with Kingman Healthcare Center.

When was this NPI record last updated?

The NPPES record for Tyler Antenen was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.