TYLER ROBERTSON
NPI 1194181891
Counselor - Professional in Green Bay, WI

Active since January 11, 2016PECOS EnrolledAccepts Medicare Assignment
1039 W MASON ST, GREEN BAY, WI 54303(920) 965-7707 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Robertson NPPES

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

TYLER ROBERTSON (NPI 1194181891) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (5914) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1194181891
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTYLER ROBERTSON
Location Address1039 W MASON STGreen Bay, WI 54303-1842
Mailing Address3031 Bay View DrGreen Bay, WI 54311-5907
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 11, 2016
NPI 1194181891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 5914
1039 W MASON ST, Green Bay, WI 54303

Accepted Insurance

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 Robertson 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.

PECOS PAC ID3274973862
PECOS Enrollment IDI20240430001566
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.

Other Providers at the Same Location NPPES 13

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

Chiropractor
1039 W MASON ST
GREEN BAY, WI 54303
Psychologist (Clinical)
1039 W MASON ST, 116
GREEN BAY, WI 54303
Community/Behavioral Health
1039 W MASON ST
GREEN BAY, WI 54303
Social Worker (Clinical)
1039 W MASON ST
GREEN BAY, WI 54303
Counselor (Mental Health)
1039 W MASON ST
GREEN BAY, WI 54303
Counselor (Professional)
1039 W MASON ST
GREEN BAY, WI 54303
Social Worker
1039 W MASON ST
GREEN BAY, WI 54303
Community/Behavioral Health
1039 W MASON ST
GREEN BAY, WI 54303

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 Robertson's NPI number?

The NPI number for Tyler Robertson is 1194181891. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Tyler Robertson located?

Tyler Robertson practices at 1039 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 965-7707.

What is Tyler Robertson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tyler Robertson enrolled in Medicare?

Yes. Tyler Robertson 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.

What insurance does Tyler Robertson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Network Health and UnitedHealthcare list Tyler Robertson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Robertson was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.