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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SARAH JANE TYNER MSN, RN, NNP
NPI 1174075774
Nurse Practitioner - Neonatal in Baldwinsville, NY

Active since October 30, 2016PECOS Enrolled
7675 POPLAR FIELD CIR, BALDWINSVILLE, NY 13027(305) 915-5133(315) 638-6240 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Dec 12, 2016, Oct 30, 2016 (3 updates tracked since 2016).

About Mrs. Sarah Jane Tyner Msn, Rn, Nnp NPPES

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

MRS. SARAH JANE TYNER MSN, RN, NNP (NPI 1174075774) is an individual neonatal provider in Baldwinsville, New York, licensed in New York (350409) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1174075774
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMRS. SARAH JANE TYNERCredential: MSN, RN, NNP
Location Address7675 POPLAR FIELD CIRBaldwinsville, NY 13027-9350
Mailing Address7675 Poplar Field CirBaldwinsville, NY 13027-9350 · (305) 915-5133 · Fax (315) 638-6240
Phone(305) 915-5133
Fax(315) 638-6240
Sole ProprietorYes
Enumeration DateOctober 30, 2016
Last NPPES UpdateOctober 16, 20263 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1174075774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in NY · 350409
Also ListedNurse PractitionerTaxonomy 363L00000X · License 350409 (NY)
7675 POPLAR FIELD CIR, Baldwinsville, NY 13027
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Secondary Practice Location 1

Location 1315 South Manning Blvd, NICU Unit 3563CAlbany, NY 12208-1707 · Phone (518) 525-6560 · Fax (518) 944-2534

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sarah Jane Tyner Msn, Rn, Nnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sarah Tyner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Medical PC
4.8 mi
Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group
NPI 1942501747 (315) 452-2828
St Peters Hospital
125 mi
Nutrition, Education
1 PINEWEST PLAZA SUITE 101
Albany, NY 12205
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 clinicians in this Medicare group
NPI 1437225828 (518) 464-9999
St. Joseph's Physician Health, P.C.
134 mi
Anesthesiology
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Physician Health PC
  • 304 clinicians in this Medicare group
NPI 1154376770 (518) 271-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13027 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Sarah Tyner's NPI number?

The NPI number for Sarah Tyner is 1174075774. It was assigned to this individual provider in the NPPES registry on October 30, 2016.

Where is Sarah Tyner located?

Sarah Tyner practices at 7675 Poplar Field Cir, Baldwinsville, NY 13027. The listed phone number is (305) 915-5133.

What is Sarah Tyner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Sarah Tyner enrolled in Medicare?

Yes. Sarah Tyner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sarah Tyner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Tyner reassigns Medicare benefits to 3 organizations: St Josephs Medical PC (Liverpool, NY), St Peters Hospital (Albany, NY) and St. Joseph's Physician Health, P.C. (Troy, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Tyner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Tyner was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.