MR. TYLOR VAILLANCOURT F.N.P.
NPI 1255733127
Nurse Practitioner - Family in Springfield, MA

Active since September 22, 2014PECOS EnrolledAccepts Medicare Assignment
1049 MAIN ST, SPRINGFIELD, MA 01103(413) 739-1100 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2020, Nov 11, 2015 (2 updates tracked since 2015).

About Mr. Tylor Vaillancourt F.n.p. NPPES

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

MR. TYLOR VAILLANCOURT F.N.P. (NPI 1255733127) is an individual family provider in Springfield, Massachusetts, licensed in Massachusetts (RN2327561) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Ctr, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1255733127
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. TYLOR VAILLANCOURTCredential: F.N.P.
Location Address1049 MAIN STSpringfield, MA 01103-2114
Mailing Address1049 Main StSpringfield, MA 01103-2114 · (413) 739-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 22, 2014
Last NPPES UpdateJuly 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
NPI 1255733127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2327561
1049 MAIN ST, Springfield, MA 01103

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

Mr. Tylor Vaillancourt F.n.p. 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 ID7416270079
PECOS Enrollment IDI20160415000260, I20181228001136
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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Ctr

Acute Care Hospitals · Springfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220066
Location271 Carew StreetSpringfield, MA 01104 · Hampden County
Emergency services Birthing friendly

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01103 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers46 claims112 services$5.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers33 claims44 services$0.95 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers36 claims36 services$2.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacy (Community/Retail Pharmacy)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Nurse Practitioner (Family)
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103
Dentist
1049 MAIN ST
SPRINGFIELD, MA 01103
Pharmacist
1049 MAIN ST
SPRINGFIELD, MA 01103
Registered Nurse
1049 MAIN ST
SPRINGFIELD, MA 01103

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 Tylor Vaillancourt's NPI number?

The NPI number for Tylor Vaillancourt is 1255733127. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Tylor Vaillancourt located?

Tylor Vaillancourt practices at 1049 Main St, Springfield, MA 01103. The listed phone number is (413) 739-1100.

What is Tylor Vaillancourt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tylor Vaillancourt enrolled in Medicare?

Yes. Tylor Vaillancourt 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 Tylor Vaillancourt accept?

Health plans from Anthem Blue Cross and Blue Shield list Tylor Vaillancourt 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.

Is Tylor Vaillancourt affiliated with any hospitals?

According to CMS data, Tylor Vaillancourt is affiliated with Mercy Medical Ctr and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Tylor Vaillancourt was last updated on July 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.