MR. TYSON RUNAKO ANDERSON MPH, MSN, AGNP-C
NPI 1619427390
Nurse Practitioner - Primary Care in Washington, DC
About Mr. Tyson Runako Anderson Mph, Msn, Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TYSON RUNAKO ANDERSON MPH, MSN, AGNP-C (NPI 1619427390) is an individual primary care provider in Washington, District Of Columbia, licensed in District Of Columbia (210126497) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Tyson Runako Anderson Mph, Msn, Agnp-c 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 Reassignments
4Medicare enrollment records show Tyson Anderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 4 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 242 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 1,534 clinicians in this Medicare group
Birmingham, AL 35206
- Reassigned Medicare billing, Alabama enrollment
- 13 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, DC 20010
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 Tyson Anderson's NPI number?
The NPI number for Tyson Anderson is 1619427390. It was assigned to this individual provider in the NPPES registry on October 6, 2016.
Where is Tyson Anderson located?
Tyson Anderson practices at 3636 Georgia Ave NW, Washington, DC 20010. The listed phone number is (202) 446-1100.
What is Tyson Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Tyson Anderson enrolled in Medicare?
Yes. Tyson Anderson 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 organizations bill Medicare for Tyson Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Anderson reassigns Medicare benefits to 4 organizations: Us Helping Us, People Into Living, Inc. (Washington, DC), Privia Care Center LLC (Arlington, VA), Privia Medical Group, LLC (Arlington, VA) and Jefferson County Board Of Health (Birmingham, AL). 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 Tyson Anderson'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 Tyson Anderson was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Tyson Runako Anderson, MPH, MSN, AGNP-C · NPI 1619427390
Primary Care physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since October 6, 2016.
## Identity
- **NPI:** 1619427390 (Entity type: Individual)
- **Enumerated:** October 6, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 210126497 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3636 GEORGIA AVE NW, Washington, DC 20010-1646
- **Phone:** (202) 446-1100 · **Fax:** (202) 204-0806
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Us Helping Us, People Into Living, Inc. (NPI 1497925697, Washington, DC); Privia Care Center LLC (NPI 1164874426, Arlington, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA); Jefferson County Board Of Health (NPI 1447285390, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619427390) · Data from the CMS NPPES public registry.