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

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: November 01, 2026.

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

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 Nor-lea Hospital District, 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
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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Roberts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
4110 22ND PL
Lubbock, TX 79410
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Nor-Lea Hospital District

Critical Access Hospitals · Lovington, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number321305
Location1600 North Main AveLovington, NM 88260 · Lea County
Emergency services

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.

Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4110 22ND PL
LUBBOCK, TX 79410
Nurse Practitioner
4110 22ND PL
LUBBOCK, TX 79410
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410

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 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.

Where is Tyler Roberts located?

Tyler Roberts practices at 4110 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 792-4329.

What is Tyler Roberts's specialty?

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

Is Tyler Roberts enrolled in Medicare?

Yes. Tyler Roberts 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 Tyler Roberts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Roberts reassigns Medicare benefits to Csk Medical Partners (Lubbock, TX). 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 Tyler Roberts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Roberts accept?

Health plans from Antidote Health of TX and Blue Cross and Blue Shield of Texas list Tyler Roberts 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 Roberts affiliated with any hospitals?

According to CMS data, Tyler Roberts is affiliated with Nor-Lea Hospital District, Covenant Medical Center, Grace Surgical Hospital, Lubbock Heart Hospital LP and Covenant Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Roberts was last updated on April 24, 2024. 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.