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JONATHAN CORY TYLER PA-C
NPI 1356747489
Physician Assistant in Las Vegas, NV

Active since November 18, 2014Opted out of Medicare · through Oct 1, 2027
6930 S CIMARRON RD # 220, LAS VEGAS, NV 89113(702) 778-5900 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Cory Tyler Pa-c NPPES

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

JONATHAN CORY TYLER PA-C (NPI 1356747489) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA0327) and active in the NPI registry since November 2014. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356747489
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJONATHAN CORY TYLERCredential: PA-C
Location Address6930 S CIMARRON RD # 220Las Vegas, NV 89113-2135
Mailing Address6930 S Cimarron Rd # 220Las Vegas, NV 89113-2135 · (702) 778-5900
Phone(702) 778-5900
Sole ProprietorYes
Enumeration DateNovember 18, 2014
Last NPPES UpdateJanuary 6, 2022
NPPES CertifiedJanuary 6, 2022
✔ NPI 1356747489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NV · PA0327✔ Licensed in NV · PA1572
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6930 S CIMARRON RD # 220, Las Vegas, NV 89113
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Jonathan Cory Tyler Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
Most-billed visit code 99213
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

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

SARA JANE ROBERTS
Nurse Practitioner (Family)
6930 S CIMARRON RD # 220
LAS VEGAS, NV 89113
Clark County (702) 822-7400

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 Jonathan Tyler's NPI number?

The NPI number for Jonathan Tyler is 1356747489. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Jonathan Tyler located?

Jonathan Tyler practices at 6930 S Cimarron Rd # 220, Las Vegas, NV 89113. The listed phone number is (702) 778-5900.

What is Jonathan Tyler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonathan Tyler enrolled in Medicare?

No. Jonathan Tyler has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jonathan Tyler was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.