EDISON TYLI NP
NPI 1558989137
Nurse Practitioner - Acute Care in Staten Island, NY
About Edison Tyli Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDISON TYLI NP (NPI 1558989137) is an individual acute care provider in Staten Island, New York, licensed in New York (431757) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of Other (2020).
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
Edison Tyli Np 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 Edison Tyli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Staten Island University Hospital
Acute Care Hospitals · Staten Island, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
STATEN ISLAND, NY 10309
STATEN ISLAND, NY 10309
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 Edison Tyli's NPI number?
The NPI number for Edison Tyli is 1558989137. It was assigned to this individual provider in the NPPES registry on July 9, 2020.
Where is Edison Tyli located?
Edison Tyli practices at 375 Seguine Ave, Staten Island, NY 10309. The listed phone number is (718) 226-2000.
What is Edison Tyli's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Edison Tyli enrolled in Medicare?
Yes. Edison Tyli 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 Edison Tyli's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edison Tyli reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, NY). 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 Edison Tyli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edison Tyli affiliated with any hospitals?
According to CMS data, Edison Tyli is affiliated with Staten Island University Hospital.
When was this NPI record last updated?
The NPPES record for Edison Tyli was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Edison Tyli, NP · NPI 1558989137
Acute Care physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since July 9, 2020.
## Identity
- **NPI:** 1558989137 (Entity type: Individual)
- **Enumerated:** July 9, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 431757 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 375 SEGUINE AVE, Staten Island, NY 10309-3932
- **Phone:** (718) 226-2000
## 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:** North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1558989137) · Data from the CMS NPPES public registry.