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JENNIFER R TYSON NP
NPI 1134964307
Nurse Practitioner - Gerontology in Kilmarnock, VA

Active since June 28, 2024PECOS Enrolled
107 DMV DR, KILMARNOCK, VA 22482(804) 435-3103(804) 435-6695 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer R Tyson Np NPPES

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

JENNIFER R TYSON NP (NPI 1134964307) is an individual gerontology provider in Kilmarnock, Virginia, licensed in Virginia (0024190467) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134964307
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJENNIFER R TYSONCredential: NP
Location Address107 DMV DRKilmarnock, VA 22482-3843
Mailing AddressPo Box 1599Kilmarnock, VA 22482-1599 · (804) 435-3103 · Fax (804) 435-6695
Phone(804) 435-3103
Fax(804) 435-6695
Sole ProprietorNo
Enumeration DateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1134964307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in VA · 0024190467
107 DMV DR, Kilmarnock, VA 22482
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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 (PECOS)

Jennifer R Tyson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22482 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 2

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

MS. CHRISTINA MARY SLAVIN FNP
Nurse Practitioner (Family)
107 DMV DR
KILMARNOCK, VA 22482
Lancaster County (804) 288-4084
ADVANCED ORTHOPAEDIC CENTERS
Orthopaedic Surgery
107 DMV DR
KILMARNOCK, VA 22482
Lancaster County (804) 270-1305

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 Jennifer Tyson's NPI number?

The NPI number for Jennifer Tyson is 1134964307. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Jennifer Tyson located?

Jennifer Tyson practices at 107 Dmv Dr, Kilmarnock, VA 22482. The listed phone number is (804) 435-3103.

What is Jennifer Tyson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jennifer Tyson enrolled in Medicare?

Yes. Jennifer Tyson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Tyson was last updated on June 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.