TYLER ROBERTS MSN, APRN, FNP-C
NPI 1104588599
Nurse Practitioner - Family in Lubbock, TX

Q: What is Tyler Roberts's NPI number?

The NPI number for Tyler Roberts is 1104588599. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Q: What is Tyler Roberts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Roberts was last updated on April 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 12, 2021PECOS EnrolledAccepts Medicare Assignment

4110 22ND PL, LUBBOCK, TX 79410(806) 792-4329 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2024, Mar 7, 2023, Oct 12, 2021 (3 updates tracked since 2021).

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About Tyler Roberts Msn, Aprn, Fnp-c NPPES

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

TYLER ROBERTS MSN, APRN, FNP-C (NPI 1104588599) is an individual family provider in Lubbock, Texas, licensed in Texas (1105863) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104588599

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTYLER ROBERTSCredential: MSN, APRN, FNP-C

Location Address4110 22ND PLLubbock, TX 79410-1122

Mailing Address4110 22nd PlLubbock, TX 79410-1122 · (806) 792-4329

Phone(806) 792-4329

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 12, 2021

Last NPPES UpdateApril 24, 20243 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1104588599 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 TX · 1105863

4110 22ND PL, Lubbock, TX 79410

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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 Roberts Msn, Aprn, Fnp-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 ID5496114662

PECOS Enrollment IDI20230706001395

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 4

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450040

Location3615 19th StreetLubbock, TX 79410 · Lubbock County

Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450162

Location2412 50th StLubbock, TX 79412 · Lubbock County

Emergency services

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450876

Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County

Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number453306

Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

DR. STEPHEN ARCHIE CORD M.D.

Orthopaedic Surgery