MS. TYLISA DUCKETT CRNP
NPI 1366278970
Nurse Practitioner in Bowie, MD
About Ms. Tylisa Duckett Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TYLISA DUCKETT CRNP (NPI 1366278970) is an individual nurse practitioner in Bowie, Maryland, licensed in Maryland (R240431) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Tylisa Duckett Crnp 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOWIE, MD 20715
BOWIE, MD 20715
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 Tylisa Duckett's NPI number?
The NPI number for Tylisa Duckett is 1366278970. It was assigned to this individual provider in the NPPES registry on September 10, 2024.
Where is Tylisa Duckett located?
Tylisa Duckett practices at 14300 Gallant Fox Ln Ste 110, Bowie, MD 20715. The listed phone number is (240) 320-7258.
What is Tylisa Duckett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tylisa Duckett enrolled in Medicare?
Yes. Tylisa Duckett 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.
When was this NPI record last updated?
The NPPES record for Tylisa Duckett was last updated on September 10, 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.
# Ms. Tylisa Duckett, CRNP · NPI 1366278970
Nurse Practitioner physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since September 10, 2024.
## Identity
- **NPI:** 1366278970 (Entity type: Individual)
- **Enumerated:** September 10, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R240431 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 14300 GALLANT FOX LN STE 110, Bowie, MD 20715-4031
- **Phone:** (240) 320-7258
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** George Washington University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** September 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366278970) · Data from the CMS NPPES public registry.