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TYLO MACKAY LCSW
NPI 1255886297
Social Worker in La Grande, OR

Active since August 19, 2016PECOS EnrolledAccepts Medicare Assignment
506 4TH ST, LA GRANDE, OR 97850(541) 663-3138 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 19, 2016 (2 updates tracked since 2016).

About Tylo Mackay Lcsw NPPES

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

TYLO MACKAY LCSW (NPI 1255886297) is an individual social worker in La Grande, Oregon, licensed in Oregon (L10823) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Grande, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255886297
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTYLO MACKAYCredential: LCSW
Location Address506 4TH STLa Grande, OR 97850-1906
Mailing Address506 4th StLa Grande, OR 97850-1906 · (541) 663-3138
Phone(541) 663-3138
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 19, 2016
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1255886297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OR · L10823
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
506 4TH ST, La Grande, OR 97850
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Secondary Practice Location 1

Location 12301 Cove AveLA Grande, OR 97850-3906 · Phone (541) 962-8800 · Fax (541) 963-4272

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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

Tylo Mackay Lcsw 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 ID4789069550
PECOS Enrollment IDI20220914002070
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tylo Mackay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grande Ronde Hospital, Inc.
0.5 mi
Critical Access
900 SUNSET DR
La Grande, OR 97850
  • Reassigned Medicare billing, Oregon enrollment
  • 158 clinicians in this Medicare group
NPI 1467446195 (541) 963-1472
Mental Health Specialty Group PA
2,134 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Oregon enrollment
  • 60 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

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.

BRADLEY JACK TISHMAN
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
DR. MICHELLE TOLLE D.O.
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
TRACEY KATHLEEN TRACY MD
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
EMILIA ARDEN D.O.
Internal Medicine (Cardiovascular Disease)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 963-2328
KATELYN LEIGH PRESLEY CHW
Community Health Worker
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3147
MS. JESSICA EILEEN MARTIN MSN, RN, FNP-BC
Nurse Practitioner (Family)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
LINDSAY CRAWFORD NP-PP
Nurse Practitioner (Family)
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138
BROOKE DAVIS DO
Family Medicine
506 4TH ST
LA GRANDE, OR 97850
Union County (541) 663-3138

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 Tylo Mackay's NPI number?

The NPI number for Tylo Mackay is 1255886297. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Tylo Mackay located?

Tylo Mackay practices at 506 4th St, La Grande, OR 97850. The listed phone number is (541) 663-3138.

What is Tylo Mackay's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tylo Mackay enrolled in Medicare?

Yes. Tylo Mackay 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 organizations bill Medicare for Tylo Mackay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tylo Mackay reassigns Medicare benefits to 2 organizations: Grande Ronde Hospital, Inc. (La Grande, OR) and Mental Health Specialty Group PA (Durham, NC). Each 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 Tylo Mackay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tylo Mackay accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Tylo Mackay 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 Tylo Mackay was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.