TYLER O STUTZMAN PA-C
NPI 1124448964
Physician Assistant in Salem, OR
About Tyler O Stutzman Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER O STUTZMAN PA-C (NPI 1124448964) is an individual physician assistant in Salem, Oregon, licensed in Virginia (0110005595) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and maintains a secondary practice location in Goodfellow Afb.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 O Stutzman 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Salem Hospital
Acute Care Hospitals · Salem, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stutzman's NPI number?
The NPI number for Tyler Stutzman is 1124448964. It was assigned to this individual provider in the NPPES registry on April 20, 2014.
Where is Tyler Stutzman located?
Tyler Stutzman practices at 890 Oak St SE Bldg A, Salem, OR 97301. The listed phone number is (503) 814-1280.
What is Tyler Stutzman's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Tyler Stutzman enrolled in Medicare?
Yes. Tyler Stutzman 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.
Is Tyler Stutzman affiliated with any hospitals?
According to CMS data, Tyler Stutzman is affiliated with Salem Hospital.
When was this NPI record last updated?
The NPPES record for Tyler Stutzman was last updated on June 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Tyler O Stutzman, PA-C · NPI 1124448964
Physician Assistant physician in Salem, Oregon. Individual provider, active in the CMS NPPES registry since April 20, 2014.
## Identity
- **NPI:** 1124448964 (Entity type: Individual)
- **Enumerated:** April 20, 2014
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0110005595 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 890 OAK ST SE BLDG A, Salem, OR 97301-3905
- **Phone:** (503) 814-1280 · **Fax:** (503) 814-1070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Nebraska College Of Medicine, class of 2015
## Record status
- **NPPES last updated:** June 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124448964) · Data from the CMS NPPES public registry.