TYLER ANDREW INGHAM AGACNP
NPI 1467016717
Nurse Practitioner - Acute Care in Providence, RI

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
593 EDDY ST, PROVIDENCE, RI 02903(844) 222-2881 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Andrew Ingham Agacnp NPPES

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

TYLER ANDREW INGHAM AGACNP (NPI 1467016717) is an individual acute care provider in Providence, Rhode Island, licensed in Massachusetts (RN2311360) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1467016717
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTYLER ANDREW INGHAMCredential: AGACNP
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 23, 2019
NPI 1467016717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MA · RN2311360
593 EDDY ST, Providence, RI 02903

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 Andrew Ingham Agacnp 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 ID5991039109
PECOS Enrollment IDI20260423002676
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.

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
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 20

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

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Ingham's NPI number?

The NPI number for Tyler Ingham is 1467016717. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Tyler Ingham located?

Tyler Ingham practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (844) 222-2881.

What is Tyler Ingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tyler Ingham enrolled in Medicare?

Yes. Tyler Ingham 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.

Is Tyler Ingham affiliated with any hospitals?

According to CMS data, Tyler Ingham is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Tyler Ingham was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.