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TYRONE SMITH
NPI 1548729080
Nurse Practitioner - Psychiatric/Mental Health in Coachella, CA

Active since March 14, 2019PECOS Enrolled
50249 CESAR CHAVEZ ST STE K, COACHELLA, CA 92236(760) 393-0555(760) 393-0522 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 31, 2021, Mar 14, 2019 (2 updates tracked since 2019).

About Tyrone Smith NPPES

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

TYRONE SMITH (NPI 1548729080) is an individual psychiatric/mental health provider in Coachella, California, licensed in California (95015797) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548729080
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTYRONE SMITH
Location Address50249 CESAR CHAVEZ ST STE KCoachella, CA 92236-1530
Mailing Address50249 Cesar Chavez St Ste KCoachella, CA 92236-1530 · (760) 393-0555 · Fax (760) 393-0522
Phone(760) 393-0555
Fax(760) 393-0522
Sole ProprietorYes
Enumeration DateMarch 14, 2019
Last NPPES UpdateDecember 31, 20212 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
✔ NPI 1548729080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95015797
50249 CESAR CHAVEZ ST STE K, Coachella, CA 92236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyrone Smith 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tyrone Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinicas De Salud Del Pueblo, Inc
Same address
Federally Qualified Health Center (FQHC)
50249 CESAR CHAVEZ ST STE K
Coachella, CA 92236
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1932381605 (760) 344-9951
Personal Recovery Network LLC
1,836 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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 92236 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 12

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

EVELYN PONCE RANGEL MSW, ACSW
Counselor
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 393-0555
FREDERICK ASANTE AFARI MD
Family Medicine
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 393-0555
ADAM SAMUEL CEJA PA-C
Physician Assistant
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 393-0555
MATTHEW BRUNS BERILLA PA
Physician Assistant
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 393-0555
MR. PABLO F. RESTREPO PA-C/MPH
Physician Assistant
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 393-0555
DR. CATHERINE MARIA SOLARES CARROLL M.D.
Pediatrics
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 393-0555
MARY JOAN D GIDOR MD
Pediatrics
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 393-0555
DR. B'LALA NAWURAH MD
Internal Medicine
50249 CESAR CHAVEZ ST STE K
COACHELLA, CA 92236
Riverside County (760) 357-2020

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 Tyrone Smith's NPI number?

The NPI number for Tyrone Smith is 1548729080. It was assigned to this individual provider in the NPPES registry on March 14, 2019.

Where is Tyrone Smith located?

Tyrone Smith practices at 50249 Cesar Chavez St Ste K, Coachella, CA 92236. The listed phone number is (760) 393-0555.

What is Tyrone Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tyrone Smith enrolled in Medicare?

Yes. Tyrone Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tyrone Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyrone Smith reassigns Medicare benefits to 2 organizations: Clinicas De Salud Del Pueblo, Inc (Coachella, CA) and Personal Recovery Network LLC (Stockbridge, GA). Each 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 Tyrone Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyrone Smith was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.