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TYLER OTTESEN DC
NPI 1295303436
Chiropractor in Newburgh, NY

Active since June 15, 2021Accepts Medicare Assignment
52 ROUTE 17K STE 203, NEWBURGH, NY 12550(845) 565-5410 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Ottesen Dc NPPES

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

TYLER OTTESEN DC (NPI 1295303436) is an individual chiropractor in Newburgh, New York, licensed in New York (X013461-01) and active in the NPI registry since June 2021. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1295303436
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTYLER OTTESENCredential: DC
Location Address52 ROUTE 17K STE 203Newburgh, NY 12550-3920
Mailing Address52 Route 17k Ste 203Newburgh, NY 12550-3920
Phone(845) 565-5410
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1295303436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X013461-01
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
52 ROUTE 17K STE 203, Newburgh, NY 12550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Tyler Ottesen Dc 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 ID3072917012
PECOS Enrollment IDI20210812001542

Other Providers at the Same Location NPPES 2

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

DR. ALEXANDRIA MEDINA DC
Chiropractor
52 ROUTE 17K STE 203
NEWBURGH, NY 12550
Orange County (845) 565-5410
MATTHEW REYAD NESHEIWAT D.C.
Chiropractor
52 ROUTE 17K STE 203
NEWBURGH, NY 12550
Orange County (845) 392-6763

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 Tyler Ottesen's NPI number?

The NPI number for Tyler Ottesen is 1295303436. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Tyler Ottesen located?

Tyler Ottesen practices at 52 Route 17K Ste 203, Newburgh, NY 12550. The listed phone number is (845) 565-5410.

What is Tyler Ottesen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tyler Ottesen enrolled in Medicare?

Yes. Tyler Ottesen 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 Tyler Ottesen accept?

Health plans from Providence Health Plan list Tyler Ottesen 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 Tyler Ottesen was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.