DANIELLE TYLER PA-C
NPI 1164108957
Physician Assistant - Surgical in Albany, NY

Q: What is Danielle Tyler's NPI number?

The NPI number for Danielle Tyler is 1164108957. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Danielle Tyler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Danielle Tyler was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 26, 2023PECOS Enrolled

121 EVERETT RD, ALBANY, NY 12205(518) 489-2663 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 28, 2025, Jul 15, 2024 (2 updates tracked since 2024).

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About Danielle Tyler Pa-c NPPES

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

DANIELLE TYLER PA-C (NPI 1164108957) is an individual surgical provider in Albany, New York, licensed in New York (030185) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Samaritan Hospital Of Troy, New York, and is a graduate of Albany Medical College Of Union University (2023).

NPPES Registry Identity

NPI1164108957

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameDANIELLE TYLERCredential: PA-C

Location Address121 EVERETT RDAlbany, NY 12205-1474

Mailing Address121 Everett RdAlbany, NY 12205-1474 · (518) 489-2663

Phone(518) 489-2663

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2023

Enumeration DateJune 26, 2023

Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1164108957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 030185

Also ListedPhysician AssistantTaxonomy 363A00000X · License 030185 (NY)

121 EVERETT RD, Albany, NY 12205

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Other Identifiers 1

Medicaid07810268NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Tyler Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658734892

PECOS Enrollment IDI20230905004077

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services47 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

21 services18 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

21 services21 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

20 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330180

Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County

Emergency services Birthing friendly

Sunnyview Hospital And Rehabilitation Center

Acute Care Hospitals · Schenectady, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number330406

Location1270 Belmont AvenueSchenectady, NY 12308 · Schenectady County

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.

KAREN L BERTASSO PA

Physician Assistant (Surgical)