MRS. MADELYN TYACK NP
NPI 1629624259
Nurse Practitioner - Family in Scarborough, ME
About Mrs. Madelyn Tyack Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MADELYN TYACK NP (NPI 1629624259) is an individual family provider in Scarborough, Maine, licensed in Maine (CNP191162) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Madelyn Tyack Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Madelyn Tyack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lewiston, ME 04240
- Reassigned Medicare billing, Maine enrollment
- 99 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 04074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Madelyn Tyack's NPI number?
The NPI number for Madelyn Tyack is 1629624259. It was assigned to this individual provider in the NPPES registry on August 9, 2019.
Where is Madelyn Tyack located?
Madelyn Tyack practices at 11 Hunnewell Rd, Scarborough, ME 04074. The listed phone number is (207) 289-3600.
What is Madelyn Tyack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Madelyn Tyack enrolled in Medicare?
Yes. Madelyn Tyack is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Madelyn Tyack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madelyn Tyack reassigns Medicare benefits to Androscoggin Home Health Services, Inc (Lewiston, ME). 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 Madelyn Tyack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madelyn Tyack accept?
Health plans from Anthem Blue Cross and Blue Shield list Madelyn Tyack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Madelyn Tyack was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Madelyn Tyack, NP · NPI 1629624259
Family physician in Scarborough, Maine. Individual provider, active in the CMS NPPES registry since August 9, 2019.
## Identity
- **NPI:** 1629624259 (Entity type: Individual)
- **Enumerated:** August 9, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP191162 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 11 HUNNEWELL RD, Scarborough, ME 04074-9539
- **Phone:** (207) 289-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Androscoggin Home Health Services, Inc (NPI 1013957687, Lewiston, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 9, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1629624259) · Data from the CMS NPPES public registry.