MARK TYRRELL PA-C
NPI 1124416946
Physician Assistant - Medical in Portland, OR

Active since December 31, 2014PECOS EnrolledAccepts Medicare Assignment
202 NW 13TH AVE, PORTLAND, OR 97209(503) 684-8252 Get Directions Write a Review

NPPES record last updated: December 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Tyrrell Pa-c NPPES

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

MARK TYRRELL PA-C (NPI 1124416946) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA170880) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124416946
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMARK TYRRELLCredential: PA-C
Location Address202 NW 13TH AVEPortland, OR 97209-2953
Mailing Address19075 Nw Tanasbourne Dr, Ste 200Hillsboro, OR 97124-5860 · (503) 684-8252
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 31, 2014
NPI 1124416946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OR · PA170880
202 NW 13TH AVE, Portland, OR 97209

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

Mark Tyrrell Pa-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 ID3375082936
PECOS Enrollment IDI20240827002327, I20240828004994
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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
202 NW 13TH AVE
PORTLAND, OR 97209
Nurse Practitioner (Family)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Surgical)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Medical)
202 NW 13TH AVE
PORTLAND, OR 97209
Physician Assistant (Medical)
202 NW 13TH AVE
PORTLAND, OR 97209
Behavior Analyst
202 NW 13TH AVE
PORTLAND, OR 97209
Internal Medicine
202 NW 13TH AVE
PORTLAND, OR 97209
Nurse Practitioner (Psychiatric/Mental Health)
202 NW 13TH AVE
PORTLAND, OR 97209

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 Mark Tyrrell's NPI number?

The NPI number for Mark Tyrrell is 1124416946. It was assigned to this individual provider in the NPPES registry on December 31, 2014.

Where is Mark Tyrrell located?

Mark Tyrrell practices at 202 NW 13th Ave, Portland, OR 97209. The listed phone number is (503) 684-8252.

What is Mark Tyrrell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mark Tyrrell enrolled in Medicare?

Yes. Mark Tyrrell 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 Mark Tyrrell accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Tyrrell 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.

When was this NPI record last updated?

The NPPES record for Mark Tyrrell was last updated on December 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.