ALISHA TYSON
NPI 1508624933
Nurse Practitioner - Family in West Haven, CT
About Alisha Tyson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISHA TYSON (NPI 1508624933) is an individual family provider in West Haven, Connecticut, licensed in Connecticut (12946) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Alisha Tyson 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 Alisha Tyson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Alisha Tyson's NPI number?
The NPI number for Alisha Tyson is 1508624933. It was assigned to this individual provider in the NPPES registry on March 11, 2024.
Where is Alisha Tyson located?
Alisha Tyson practices at 511 Main St Apt G13, West Haven, CT 06516. The listed phone number is (203) 707-4612.
What is Alisha Tyson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Alisha Tyson enrolled in Medicare?
Yes. Alisha Tyson 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 Alisha Tyson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alisha Tyson reassigns Medicare benefits to Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). 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 Alisha Tyson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alisha Tyson accept?
Health plans from Anthem Blue Cross and Blue Shield list Alisha Tyson 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 Alisha Tyson was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alisha Tyson · NPI 1508624933
Family physician in West Haven, Connecticut. Individual provider, active in the CMS NPPES registry since March 11, 2024.
## Identity
- **NPI:** 1508624933 (Entity type: Individual)
- **Enumerated:** March 11, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12946 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 511 MAIN ST APT G13, West Haven, CT 06516-4260
- **Phone:** (203) 707-4612
## 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:** Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508624933) · Data from the CMS NPPES public registry.