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MRS. MADELYN TYACK NP
NPI 1629624259
Nurse Practitioner - Family in Scarborough, ME

Active since August 09, 2019PECOS Enrolled
11 HUNNEWELL RD, SCARBOROUGH, ME 04074(207) 289-3600 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1629624259
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MADELYN TYACKCredential: NP
Location Address11 HUNNEWELL RDScarborough, ME 04074-9539
Mailing Address263 Danforth StPortland, ME 04102-3705
Phone(207) 289-3600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 9, 2019
✔ NPI 1629624259 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 ME · CNP191162
11 HUNNEWELL RD, Scarborough, ME 04074
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Madelyn Tyack Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234584764
PECOS Enrollment IDI20260424002882
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 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.

New Patient
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 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.

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.