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ALISHA TYSON
NPI 1508624933
Nurse Practitioner - Family in West Haven, CT

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
511 MAIN ST APT G13, WEST HAVEN, CT 06516(203) 707-4612 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1508624933
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISHA TYSON
Location Address511 MAIN ST APT G13West Haven, CT 06516-4260
Mailing AddressPo Box 4043Hamden, CT 06514-0043 · (203) 707-4612
Phone(203) 707-4612
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1508624933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 12946
511 MAIN ST APT G13, West Haven, CT 06516
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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

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.

PECOS PAC ID9537600572
PECOS Enrollment IDI20240918002057
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.

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

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.