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MR. TANNER TYER CAA
NPI 1225808819
Anesthesiologist Assistant in Saint Louis, MO

Active since January 04, 2024Accepts Medicare Assignment
615 S NEW BALLAS RD DEPT OF, SAINT LOUIS, MO 63141(636) 386-9224(636) 386-7679 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Tanner Tyer Caa NPPES

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

MR. TANNER TYER CAA (NPI 1225808819) is an individual anesthesiologist assistant in Saint Louis, Missouri, licensed in Missouri (2023049878) and active in the NPI registry since January 2024. He is affiliated with Mercy Hospital St Louis and is a graduate of Medical College Of Wisconsin (2023).

NPPES Registry Identity

NPI1225808819
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. TANNER TYERCredential: CAA
Location Address615 S NEW BALLAS RD DEPT OFSaint Louis, MO 63141-8221
Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679
Phone(636) 386-9224
Fax(636) 386-7679
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2023
Enumeration DateJanuary 4, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1225808819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in MO · 2023049878
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
615 S NEW BALLAS RD DEPT OF, Saint Louis, MO 63141
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Tanner Tyer Caa 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 ID6204271711
PECOS Enrollment IDI20240223002720

Medicare Billing Reassignment

Medicare enrollment records show Tanner Tyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Western Anesthesiology Associates, Inc.
1.5 mi
Anesthesiology
615 S NEW BALLAS RD, DEPT. OF ANESTHESIA
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 309 clinicians in this Medicare group
NPI 1275646754 (636) 386-9224

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
22 services22 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

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.

MRS. MARIA JONES C-AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
MR. NICK BALARAMA RODRIGUEZ AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
BRITTNE BERRY
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LINDSAY ANNE DAWSON CRNA
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
MS. CHRISTINA BROWN AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
SHEHRYAR BOKHARI AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
MS. RUCHI DESAI AA
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
MRS. JAMIE DEUBEL DNP, CRNA
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000

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 Tanner Tyer's NPI number?

The NPI number for Tanner Tyer is 1225808819. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Tanner Tyer located?

Tanner Tyer practices at 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141. The listed phone number is (636) 386-9224.

What is Tanner Tyer's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Tanner Tyer enrolled in Medicare?

Yes. Tanner Tyer 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.

Which organization bills Medicare for Tanner Tyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Tyer reassigns Medicare benefits to Western Anesthesiology Associates, Inc. (Saint Louis, MO). The 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 Tanner Tyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tanner Tyer affiliated with any hospitals?

According to CMS data, Tanner Tyer is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Tanner Tyer was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.