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TYRA A GOOGE CPNP-AC
NPI 1245183011
Nurse Practitioner - Pediatrics in Boston, MA

Active since February 19, 2026PECOS Enrolled
850 HARRISON AVE., YACC 4, BOSTON, MA 02118(617) 414-4359 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tyra A Googe Cpnp-ac NPPES

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

TYRA A GOOGE CPNP-AC (NPI 1245183011) is an individual pediatrics provider in Boston, Massachusetts, licensed in Massachusetts (RN2333352) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245183011
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTYRA A GOOGECredential: CPNP-AC
Location Address850 HARRISON AVE., YACC 4Boston, MA 02118
Mailing Address70 Sheafe StMalden, MA 02148-6029
Phone(617) 414-4359
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 19, 2026
Last NPPES UpdateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1245183011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MA · RN2333352
850 HARRISON AVE., Boston, MA 02118
Open in Google Maps ↗

Other Names 1

Former Name (1)Tyra Dukes

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyra A Googe Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204305907
PECOS Enrollment IDI20260512001480
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ARIANA M. WITKIN MD
Pediatrics
850 HARRISON AVE., 4TH YACC
BOSTON, MA 02118
Suffolk County (617) 414-4363

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 Tyra Googe's NPI number?

The NPI number for Tyra Googe is 1245183011. It was assigned to this individual provider in the NPPES registry on February 19, 2026. The provider is also known as Tyra Dukes.

Where is Tyra Googe located?

Tyra Googe practices at 850 Harrison Ave. Yacc 4, Boston, MA 02118. The listed phone number is (617) 414-4359.

What is Tyra Googe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tyra Googe enrolled in Medicare?

Yes. Tyra Googe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyra Googe was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.