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CHERYL ANN TYRE
NPI 1609768597
Nurse Practitioner - Family in Port St Lucie, FL

Active since July 16, 2025PECOS Enrolled
1930 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 335-3184(772) 335-4256 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheryl Ann Tyre NPPES

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

CHERYL ANN TYRE (NPI 1609768597) is an individual family provider in Port St Lucie, Florida, licensed in Florida (11041012) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Port St Lucie, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609768597
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHERYL ANN TYRE
Location Address1930 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5509
Mailing Address11301 Sw Lyra DrPort St Lucie, FL 34987-6420 · (772) 418-9963
Phone(772) 335-3184
Fax(772) 335-4256
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1609768597 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 FL · 11041012
1930 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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Secondary Practice Location 1

Location 111301 SW Lyra DrPort St Lucie, FL 34987-6420 · Phone (772) 418-9963

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cheryl Ann Tyre is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012418486
PECOS Enrollment IDI20250828000064
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 34952 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Cheryl Tyre's NPI number?

The NPI number for Cheryl Tyre is 1609768597. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Cheryl Tyre located?

Cheryl Tyre practices at 1930 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 335-3184.

What is Cheryl Tyre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cheryl Tyre enrolled in Medicare?

Yes. Cheryl Tyre is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cheryl Tyre was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.