MR. TYLER JAMES CORKUM NP
NPI 1285125062
Nurse Practitioner - Psychiatric/Mental Health in Centreville, MD

Active since May 28, 2018PECOS EnrolledAccepts Medicare Assignment
120 BANJO LN, CENTREVILLE, MD 21617(410) 758-2211 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Tyler James Corkum Np NPPES

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

MR. TYLER JAMES CORKUM NP (NPI 1285125062) is an individual psychiatric/mental health provider in Centreville, Maryland, licensed in Maryland (R217257) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285125062
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. TYLER JAMES CORKUMCredential: NP
Location Address120 BANJO LNCentreville, MD 21617-1002
Mailing Address5304 Purlington WayBaltimore, MD 21212-3403 · (443) 845-2512
Sole ProprietorNo
Enumeration DateMay 28, 2018
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
NPI 1285125062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MD · R217257
120 BANJO LN, Centreville, MD 21617

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. Tyler James Corkum Np 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 ID7113375015
PECOS Enrollment IDI20231204001692
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 21617 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Community/Behavioral Health
120 BANJO LN
CENTREVILLE, MD 21617
Clinic/Center (Adult Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Counselor (Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617
Social Worker (Clinical)
120 BANJO LN
CENTREVILLE, MD 21617
Social Worker (Clinical)
120 BANJO LN
CENTREVILLE, MD 21617
Social Worker
120 BANJO LN
CENTREVILLE, MD 21617
Nurse Practitioner (Psychiatric/Mental Health)
120 BANJO LN
CENTREVILLE, MD 21617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285125062, enumerated as an "individual" on May 28, 2018.

The provider is located at 120 BANJO LN CENTREVILLE, MD 21617 and the phone number is (410) 758-2211.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.