MRS. DALTREY ANNE TYREE PMHNP, APRN
NPI 1619968542
Nurse Practitioner - Psychiatric/Mental Health in Bowling Green, KY

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
730 FAIRVIEW AVE STE B3, BOWLING GREEN, KY 42101(270) 715-0665(270) 550-2008 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2021, Mar 26, 2021, Oct 7, 2020 and 2 more (5 updates tracked since 2018).

About Mrs. Daltrey Anne Tyree Pmhnp, Aprn NPPES

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

MRS. DALTREY ANNE TYREE PMHNP, APRN (NPI 1619968542) is an individual psychiatric/mental health provider in Bowling Green, Kentucky, licensed in Kentucky (3004688) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1619968542
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. DALTREY ANNE TYREECredential: PMHNP, APRN
Location Address730 FAIRVIEW AVE STE B3Bowling Green, KY 42101-2365
Mailing Address730 Fairview Ave Ste B3Bowling Green, KY 42101-2365 · (270) 715-0665 · Fax (270) 550-2008
Fax(270) 550-2008
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 31, 2005
Last NPPES UpdateJanuary 30, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
NPI 1619968542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in KY · 3004688
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4688P (KY)
730 FAIRVIEW AVE STE B3, Bowling Green, KY 42101

Secondary Practice Locations 2

Location 11911 Scottsville Rd Ste BBowling Green, KY 42104-3303 · Phone (270) 421-3397 · Fax (270) 550-2008
Location 21911 B Scottsville RdBowling Green, KY 42104-3303 · Phone (270) 421-3397

Other Identifiers 2

Medicaid554523AZ
Medicaid7100579550KY

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

Mrs. Daltrey Anne Tyree Pmhnp, Aprn 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 ID7315134160
PECOS Enrollment IDI20190510001929
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services30 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
36 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 2

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

Nurse Practitioner (Psychiatric/Mental Health)
730 FAIRVIEW AVE STE B3
BOWLING GREEN, KY 42101
Nurse Practitioner (Psychiatric/Mental Health)
730 FAIRVIEW AVE STE B3
BOWLING GREEN, KY 42101

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 Daltrey Tyree's NPI number?

The NPI number for Daltrey Tyree is 1619968542. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Daltrey Tyree located?

Daltrey Tyree practices at 730 Fairview Ave Ste B3, Bowling Green, KY 42101. The listed phone number is (270) 715-0665.

What is Daltrey Tyree's specialty?

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

Is Daltrey Tyree enrolled in Medicare?

Yes. Daltrey Tyree 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 Daltrey Tyree was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.