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TYLER JOSEPH SMITH PA-C
NPI 1295568723
Physician Assistant - Medical in Union Grove, WI

Active since August 21, 2024PECOS EnrolledAccepts Medicare Assignment
1120 MAIN ST, UNION GROVE, WI 53182(262) 878-4424 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Joseph Smith Pa-c NPPES

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

TYLER JOSEPH SMITH PA-C (NPI 1295568723) is an individual medical provider in Union Grove, Wisconsin, licensed in Wisconsin (8089-23) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295568723
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTYLER JOSEPH SMITHCredential: PA-C
Location Address1120 MAIN STUnion Grove, WI 53182-1328
Mailing Address1911 N Emmertsen RdMount Pleasant, WI 53406-2613
Phone(262) 878-4424
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 21, 2024
NPPES CertifiedAugust 21, 2024
✔ NPI 1295568723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 8089-23
1120 MAIN ST, Union Grove, WI 53182
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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 Joseph Smith Pa-c 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 ID5597206938
PECOS Enrollment IDI20240925001688
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

LAURIE BETH POTRATZ
Family Medicine
1120 MAIN ST
UNION GROVE, WI 53182
Racine County (262) 548-6903
AMANDA B STROM PA
Physician Assistant (Medical)
1120 MAIN ST
UNION GROVE, WI 53182
Racine County (262) 878-4424
MARY E BIENEMANN MD
Family Medicine
1120 MAIN ST
UNION GROVE, WI 53182
Racine County (262) 878-4424
LISA M. SIMONDS M.D.
Family Medicine
1120 MAIN ST
UNION GROVE, WI 53182
Racine County (261) 878-4424
JODENE STROMMEN NP
Nurse Practitioner
1120 MAIN ST
UNION GROVE, WI 53182
Racine County (262) 878-4424
MRS. MARGARET E BAKER PA-C
Physician Assistant
1120 MAIN ST
UNION GROVE, WI 53182
Racine County (262) 878-4424
AMIE KOEHNLEIN LPC
Counselor (Professional)
1120 MAIN ST
UNION GROVE, WI 53182
Racine County (262) 634-2391

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 Smith's NPI number?

The NPI number for Tyler Smith is 1295568723. It was assigned to this individual provider in the NPPES registry on August 21, 2024.

Where is Tyler Smith located?

Tyler Smith practices at 1120 Main St, Union Grove, WI 53182. The listed phone number is (262) 878-4424.

What is Tyler Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tyler Smith enrolled in Medicare?

Yes. Tyler Smith 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 Smith accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Tyler Smith 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 Tyler Smith affiliated with any hospitals?

According to CMS data, Tyler Smith is affiliated with Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Tyler Smith was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.