KATHRYN M TYNAN NP
NPI 1508857095
Nurse Practitioner - Adult Health in Cypress, CA

Q: What is Kathryn Tynan's NPI number?

The NPI number for Kathryn Tynan is 1508857095. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Kathryn Tynan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kathryn Tynan was last updated on June 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 02, 2005PECOS Enrolled

5757 PLAZA DR, CYPRESS, CA 90630(763) 361-7002 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Kathryn M Tynan Np NPPES

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

KATHRYN M TYNAN NP (NPI 1508857095) is an individual adult health provider in Cypress, California, licensed in Arizona (RN081159) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tucson.

NPPES Registry Identity

NPI1508857095

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKATHRYN M TYNANCredential: NP

Location Address5757 PLAZA DRCypress, CA 90630-5000

Mailing Address3672 N White Pearl LnTucson, AZ 85749-9707 · (520) 245-3326 · Fax (520) 751-6448

Phone(763) 361-7002

Sole ProprietorNo

Enumeration DateNovember 2, 2005

Last NPPES UpdateJune 4, 2021

NPPES CertifiedJune 4, 2021

✔ NPI 1508857095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in AZ · RN081159✔ Licensed in OR · 200550137NP

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 200550138NP (OR)

5757 PLAZA DR, Cypress, CA 90630

Open in Google Maps ↗

Secondary Practice Location 1

Location 11775 E Skyline Dr, SUITE 101Tucson, AZ 85718-9101 · Phone (520) 299-3968 · Fax (520) 577-3968

Other Identifiers 1

Medicaid440777AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn M Tynan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90630 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Leave this field empty