TYLER ANDREW INGHAM AGACNP
NPI 1467016717
Nurse Practitioner - Acute Care in Providence, RI
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tyler Ingham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Doylestown, PA 18901
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, PAPhysician 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.
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.
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
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.
Which organization bills Medicare for Tyler Ingham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Ingham reassigns Medicare benefits to University Of Penn - Medical Group (Doylestown, PA). The 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 Tyler Ingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Tyler Andrew Ingham, AGACNP · NPI 1467016717
Acute Care physician in Providence, Rhode Island. Individual provider, active in the CMS NPPES registry since April 23, 2019.
## Identity
- **NPI:** 1467016717 (Entity type: Individual)
- **Enumerated:** April 23, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN2311360 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 593 EDDY ST, Providence, RI 02903-4923
- **Phone:** (844) 222-2881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn - Medical Group (NPI 1538056163, Doylestown, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 23, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1467016717) · Data from the CMS NPPES public registry.