TYSON LUCIAN SYDNEY PANKEY PHD, MPH
NPI 1194396804
Psychologist in Rochester, MN

Active since July 03, 2021PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(913) 558-4193 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2023, Jul 3, 2021 (2 updates tracked since 2021).

About Tyson Lucian Sydney Pankey Phd, Mph NPPES

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

TYSON LUCIAN SYDNEY PANKEY PHD, MPH (NPI 1194396804) is an individual psychologist in Rochester, Minnesota and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194396804
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameTYSON LUCIAN SYDNEY PANKEYCredential: PHD, MPH
Location Address200 1ST ST SWRochester, MN 55905-0002
Mailing Address544 Providence St Unit 1Albany, NY 12208-3223
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 3, 2021
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedMay 1, 2023
NPI 1194396804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
200 1ST ST SW, Rochester, MN 55905

Other Names 1

Professional Name (2)Tyson Pankey Phd, Mph

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

Tyson Lucian Sydney Pankey Phd, Mph 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 ID7618360348
PECOS Enrollment IDI20220202000139
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 20

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

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Tyson Pankey's NPI number?

The NPI number for Tyson Pankey is 1194396804. It was assigned to this individual provider in the NPPES registry on July 3, 2021. The provider is also known as Tyson Pankey Phd, Mph.

Where is Tyson Pankey located?

Tyson Pankey practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (913) 558-4193.

What is Tyson Pankey's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Tyson Pankey enrolled in Medicare?

Yes. Tyson Pankey 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 Tyson Pankey accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Tyson Pankey 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 Tyson Pankey was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.