DR. KATHERINE ANN TYSON MD
NPI 1184470957
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 24, 2024PECOS Enrolled
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455(612) 625-6483 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Katherine Ann Tyson Md NPPES

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

DR. KATHERINE ANN TYSON MD (NPI 1184470957) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1184470957
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KATHERINE ANN TYSONCredential: MD
Location Address420 DELAWARE ST SE, MMC 195Minneapolis, MN 55455-0341
Mailing Address420 Delaware St Se, Mmc 195Minneapolis, MN 55455-0341
Sole ProprietorNo
Enumeration DateApril 24, 2024
NPPES CertifiedApril 16, 2024
NPI 1184470957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE ST SE, Minneapolis, MN 55455

Medicare Participation & PECOS Enrollment Status

Katherine Tyson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. KATHERINE ANN TYSON MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Genetic Counselor, MS
420 DELAWARE ST SE, MMC 484
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Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485, UNIVERSITY OF MINNESOTA
MINNEAPOLIS, MN 55455
Internal Medicine (Infectious Disease)
420 DELAWARE ST SE, MMC 88
MINNEAPOLIS, MN 55455
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 206
MINNEAPOLIS, MN 55455
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485
MINNEAPOLIS, MN 55455
Genetic Counselor, MS
420 DELAWARE ST SE, MMC 485
MINNEAPOLIS, MN 55455
Plastic Surgery
420 DELAWARE ST SE, MMC 122
MINNEAPOLIS, MN 55455
Internal Medicine
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Specialist
420 DELAWARE ST SE, MMC 185
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Dietitian, Registered
420 DELAWARE ST SE, MMC 84
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Physician Assistant
420 DELAWARE ST SE, MAYO MAIL CODE 290
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Nurse Anesthetist, Certified Registered
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184470957, enumerated as an "individual" on April 24, 2024.

The provider is located at 420 DELAWARE ST SE MMC 195 MINNEAPOLIS, MN 55455 and the phone number is (612) 625-6483.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.