MR. TYSON RUNAKO ANDERSON MPH, MSN, AGNP-C
NPI 1619427390
Nurse Practitioner - Primary Care in Washington, DC

Q: 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.

Q: What is Tyson Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: 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.

Active since October 06, 2016PECOS EnrolledAccepts Medicare Assignment

3636 GEORGIA AVE NW, WASHINGTON, DC 20010(202) 446-1100(202) 204-0806 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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 and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619427390

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameMR. TYSON RUNAKO ANDERSONCredential: MPH, MSN, AGNP-C

Location Address3636 GEORGIA AVE NWWashington, DC 20010-1646

Mailing Address1400 6th Ave SBirmingham, AL 35233-1502 · (205) 930-1530 · Fax (205) 930-0243

Phone(202) 446-1100

Fax(202) 204-0806

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 6, 2016

Last NPPES UpdateJuly 12, 2023

NPPES CertifiedJuly 12, 2023

✔ NPI 1619427390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in DC · 210126497

3636 GEORGIA AVE NW, Washington, DC 20010

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9436566122

PECOS Enrollment IDI20260219002606

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 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.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 4

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

CHLOE COOK M.S.

Marriage & Family Therapist

3636 GEORGIA AVE NW
WASHINGTON, DC 20010

District of Columbia (770) 765-5637

DR. CHARLES BROWN JR. APRN FNP-BC DHA

Nurse Practitioner

3636 GEORGIA AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 446-1100

US HELPING US, PEOPLE INTO LIVING, INC.

Social Worker (Clinical)

3636 GEORGIA AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 446-1100

DR. BRYANT K WOODFORD LPC

Counselor (Professional)

3636 GEORGIA AVE NW
WASHINGTON, DC 20010

District of Columbia (202) 446-1120

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.

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.