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AVERA TYLER
NPI 1326102237
Medicare Defined Swing Bed Unit in Tyler, MN

Active since December 22, 2006CLIA 24D0405325 · Certificate of Compliance
240 WILLOW STREET, TYLER, MN 56178(507) 247-5521(507) 247-2325 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2022, Feb 23, 2017 (2 updates tracked since 2017).

About Avera Tyler NPPES

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

AVERA TYLER (NPI 1326102237), doing business as Avera Tyler Hospital, is a healthcare organization registered as a medicare defined swing bed unit in Tyler, Minnesota and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 1, 2027 and lists Debbie Streier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326102237
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NameAVERA TYLER
Location Address240 WILLOW STREETTyler, MN 56178
Mailing Address240 Willow StTyler, MN 56178-1166 · (507) 247-5521 · Fax (507) 247-2325
Phone(507) 247-5521
Fax(507) 247-2325
Organization SubpartYesParent: Avera Marshall
Authorized OfficialDebbie StreierCeo · (507) 537-9160
Enumeration DateDecember 22, 2006
Last NPPES UpdateDecember 2, 20222 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1326102237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in MN · 380347
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
240 WILLOW STREET, Tyler, MN 56178
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Other Names 1

Former Legal Business NameAvera Tyler Hospital

Other Identifiers 2

Medicaid599245100MN
Other1889EALMN · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Avera Tyler, which bills Medicare for the services this clinician delivers.

Clinician (1)

Heidi Hansen, APRN, CNP
Nurse Practitioner
NPI 1629414578
366 E GEORGE ST
Ivanhoe, MN 56142
(507) 694-1377
✔ PECOS14 mi

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 24D0405325

Avera Tyler · Tyler, MN
Active · expires Dec 1, 2027
CLIA Number24D0405325
Laboratory TypeHospital
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorMatthew S. Johnson
Laboratory Phone(507) 247-5521
Laboratory LocationAvera Tyler240 Willow Street, Tyler, MN 56178
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 24D2156342

Avera Tyler Pharmacy · Tyler, MN
Expired · Oct 15, 2026
CLIA Number24D2156342
Laboratory TypePharmacy
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorKathy J. Opdahl
Laboratory Phone(507) 247-2376
Laboratory LocationAvera Tyler Pharmacy240 Willow St, Tyler, MN 56178
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Avera Tyler's NPI number?

The NPI number for Avera Tyler is 1326102237. It was assigned to this organization in the NPPES registry on December 22, 2006. The provider was formerly known as Avera Tyler Hospital.

Where is Avera Tyler located?

Avera Tyler is located at 240 Willow Street, Tyler, MN 56178. The listed phone number is (507) 247-5521.

What is Avera Tyler's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Is Avera Tyler enrolled in Medicare?

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

How many clinicians bill Medicare through Avera Tyler?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Avera Tyler. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Avera Tyler hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 24D0405325) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Avera Tyler accept?

Health plans from Avera Health Plans list Avera Tyler 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 Avera Tyler was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.