TYLER STEPHANIE PASSALACQUA PA-C
NPI 1225659147
Physician Assistant - Medical in Boca Raton, FL

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
950 GLADES RD STE 4A, BOCA RATON, FL 33431(561) 391-8086(954) 418-1698 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2022, Jul 8, 2021 (2 updates tracked since 2021).

About Tyler Stephanie Passalacqua Pa-c NPPES

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

TYLER STEPHANIE PASSALACQUA PA-C (NPI 1225659147) is an individual medical provider in Boca Raton, Florida, licensed in Florida (PA9113012) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Florida International Univ, College Of Medicine (2019).

NPPES Registry Identity

NPI1225659147
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTYLER STEPHANIE PASSALACQUACredential: PA-C
Location Address950 GLADES RD STE 4ABoca Raton, FL 33431-6401
Mailing Address4855 W Hillsboro Blvd Ste B-2Coconut Creek, FL 33073 · (954) 418-1683 · Fax (954) 418-1698
Fax(954) 418-1698
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2019
Enumeration DateMay 1, 2020
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
NPI 1225659147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9113012
950 GLADES RD STE 4A, Boca Raton, FL 33431

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 Stephanie Passalacqua Pa-c 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 ID1759799679
PECOS Enrollment IDI20210414000988
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 7

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

Family Medicine
950 GLADES RD STE 4A
BOCA RATON, FL 33431
Nurse Practitioner
950 GLADES RD STE 4A
BOCA RATON, FL 33431
Physician Assistant
950 GLADES RD STE 4A
BOCA RATON, FL 33431
Family Medicine
950 GLADES RD STE 4A
BOCA RATON, FL 33431
Physician Assistant
950 GLADES RD STE 4A
BOCA RATON, FL 33431
General Practice
950 GLADES RD STE 4A
BOCA RATON, FL 33431
Nurse Practitioner (Family)
950 GLADES RD STE 4A
BOCA RATON, FL 33431

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 Passalacqua's NPI number?

The NPI number for Tyler Passalacqua is 1225659147. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Tyler Passalacqua located?

Tyler Passalacqua practices at 950 Glades Rd Ste 4A, Boca Raton, FL 33431. The listed phone number is (561) 391-8086.

What is Tyler Passalacqua's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tyler Passalacqua enrolled in Medicare?

Yes. Tyler Passalacqua 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 Passalacqua accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Oscar Health Maintenance Organization of Florida list Tyler Passalacqua 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 Passalacqua was last updated on February 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.