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TYRA JEAN GUNN APRN
NPI 1104847995
Nurse Practitioner - Women's Health in Ponte Vedra, FL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
400 COLONNADE DR STE 230, PONTE VEDRA, FL 32081(904) 640-8249(904) 640-8250 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Oct 31, 2022, Oct 12, 2022 and 3 more (6 updates tracked since 2018).

About Tyra Jean Gunn Aprn NPPES

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

TYRA JEAN GUNN APRN (NPI 1104847995) is an individual women's health provider in Ponte Vedra, Florida, licensed in Florida (APRN2202722) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Emory University School Of Medicine (1997).

NPPES Registry Identity

NPI1104847995
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameTYRA JEAN GUNNCredential: APRN
Location Address400 COLONNADE DR STE 230Ponte Vedra, FL 32081-6237
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(904) 640-8249
Fax(904) 640-8250
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1997
Enumeration DateJuly 21, 2006
Last NPPES UpdateJanuary 26, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1104847995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in FL · APRN2202722
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License APRN2202722 (FL)
400 COLONNADE DR STE 230, Ponte Vedra, FL 32081
Open in Google Maps ↗

Secondary Practice Location 1

Location 114546 Old Saint Augustine Rd Ste 305&311Jacksonville, FL 32258-5468 · Phone (904) 260-2255 · Fax (904) 260-2251

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

Tyra Jean Gunn Aprn 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 ID1759629660
PECOS Enrollment IDI20190218002819
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 32081 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

MS. SHARON MARIE DESMARAIS MD
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
MRS. CHRISTINE MONAHAN VENTRESCA LMHC
Counselor (Mental Health)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
DR. MEGAN LEANNE KRANTZ PHD
Psychologist (Clinical)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
DR. CHRISTINA STOUGH ADAMS MD
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
ANDREW BROWN KING PHD
Psychologist (Clinical)
400 COLONNADE DR STE 230
PONTE VEDRA BEACH, FL 32081
St. Johns County (904) 376-3800
LYERLY BAPTIST INC
Family Medicine (Obesity Medicine)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 202-1795
BRITTANY BUCHANAN KELLY APRN
Nurse Practitioner (Family)
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249
DR. BLAKE DAVID BUTTERWORTH M.D.
Obstetrics & Gynecology
400 COLONNADE DR STE 230
PONTE VEDRA, FL 32081
St. Johns County (904) 640-8249

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 Tyra Gunn's NPI number?

The NPI number for Tyra Gunn is 1104847995. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Tyra Gunn located?

Tyra Gunn practices at 400 Colonnade Dr Ste 230, Ponte Vedra, FL 32081. The listed phone number is (904) 640-8249.

What is Tyra Gunn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Tyra Gunn enrolled in Medicare?

Yes. Tyra Gunn 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 Tyra Gunn was last updated on January 26, 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.