JESSICA ANNE TYSZ
NPI 1104487164
Nurse Practitioner - Family in Madison, AL

Active since June 21, 2019PECOS EnrolledAccepts Medicare Assignment
9000 GREENBRIER RD, MADISON, AL 35756(256) 893-9500(702) 853-3854 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, Sep 4, 2019, Jun 21, 2019 (3 updates tracked since 2019).

About Jessica Anne Tysz NPPES

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

JESSICA ANNE TYSZ (NPI 1104487164) is an individual family provider in Madison, Alabama, licensed in Alabama (1-193147) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104487164
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA ANNE TYSZ
Location Address9000 GREENBRIER RDMadison, AL 35756
Mailing Address9000 Greenbrier Pkwy Nw Unit 84Madison, AL 35756-4815 · (256) 893-9500
Fax(702) 853-3854
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 21, 2019
Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
NPI 1104487164 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
Licenses Licensed in AL · 1-193147 Licensed in NV · 821593
9000 GREENBRIER RD, Madison, AL 35756

Other Names 1

Former Name (1)Jessica Anne Guerrero Np-c

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

Jessica Anne Tysz 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 ID2567894512
PECOS Enrollment IDI20250924000005
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 35756 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
5 suppliers25 claims1,744 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims358 services$7.08 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims383 services$3.15 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
3 suppliers21 claims1,357 services$0.11 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers18 claims2,135 services$0.38 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 Jessica Tysz's NPI number?

The NPI number for Jessica Tysz is 1104487164. It was assigned to this individual provider in the NPPES registry on June 21, 2019. The provider is also known as Jessica Anne Guerrero Np-C.

Where is Jessica Tysz located?

Jessica Tysz practices at 9000 Greenbrier Rd, Madison, AL 35756. The listed phone number is (256) 893-9500.

What is Jessica Tysz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Tysz enrolled in Medicare?

Yes. Jessica Tysz 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 Jessica Tysz was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.