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TYLER STEPHEN PRUSISZ MD
NPI 1295674158
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 26, 2026PECOS Enrolled
1215 LEE ST, BOX 800699, CHARLOTTESVILLE, VA 22908(434) 924-8485(434) 924-2231 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Stephen Prusisz Md NPPES

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

TYLER STEPHEN PRUSISZ MD (NPI 1295674158) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295674158
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER STEPHEN PRUSISZCredential: MD
Location Address1215 LEE ST, BOX 800699Charlottesville, VA 22908-0816
Mailing Address1215 Lee St, Box 800699Charlottesville, VA 22908-0816 · (434) 924-8485 · Fax (434) 924-2231
Phone(434) 924-8485
Fax(434) 924-2231
Sole ProprietorNo
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1295674158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1215 LEE ST, Charlottesville, VA 22908
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Stephen Prusisz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

NORMA BRANHAM R.N., N.P.
Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2047
FARNAZ M GAZONI MD
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
MARGARET K. SANDE M.D.
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2231
KATHERINE T, FORKIN M.D.
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2283
AMBER N. INOFUENTES M.D.
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-4288
JOY R MILLER PNP
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-2617
DR. DARREN GUFFEY M.D.
Dermatology
1215 LEE ST, BOX 800744
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-1931
SETH MORRISON MD
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-3627

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 Prusisz's NPI number?

The NPI number for Tyler Prusisz is 1295674158. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Tyler Prusisz located?

Tyler Prusisz practices at 1215 Lee St Box 800699, Charlottesville, VA 22908. The listed phone number is (434) 924-8485.

What is Tyler Prusisz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tyler Prusisz enrolled in Medicare?

Yes. Tyler Prusisz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Prusisz was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.