TYLER PEMBERTON PMHNP
NPI 1639902679
Psychiatry & Neurology - Psychiatry in Mesa, AZ

Active since August 23, 2024PECOS EnrolledAccepts Medicare Assignment
334 W 10TH PL STE 100, MESA, AZ 85201(602) 258-6797(602) 254-2636 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Pemberton Pmhnp NPPES

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

TYLER PEMBERTON PMHNP (NPI 1639902679) is an individual psychiatry provider in Mesa, Arizona, licensed in Arizona (313307) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639902679
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTYLER PEMBERTONCredential: PMHNP
Location Address334 W 10TH PL STE 100Mesa, AZ 85201-3499
Mailing Address5226 S DrexelMesa, AZ 85212-8511 · (602) 258-6797
Fax(602) 254-2636
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 23, 2024
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1639902679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in AZ · 313307
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

334 W 10TH PL STE 100, Mesa, AZ 85201

Accepted Insurance

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

Tyler Pemberton Pmhnp 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 ID7012415508
PECOS Enrollment IDI20250813002208
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 85201 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 5

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

Community/Behavioral Health
334 W 10TH PL STE 100
MESA, AZ 85201
Counselor (Addiction (Substance Use Disorder))
334 W 10TH PL STE 100
MESA, AZ 85201
Dietitian, Registered
334 W 10TH PL STE 100
MESA, AZ 85201
Physician Assistant
334 W 10TH PL STE 100
MESA, AZ 85201
Clinic/Center (Federally Qualified Health Center (FQHC))
334 W 10TH PL STE 100
MESA, AZ 85201

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 Tyler Pemberton's NPI number?

The NPI number for Tyler Pemberton is 1639902679. It was assigned to this individual provider in the NPPES registry on August 23, 2024.

Where is Tyler Pemberton located?

Tyler Pemberton practices at 334 W 10th Pl Ste 100, Mesa, AZ 85201. The listed phone number is (602) 258-6797.

What is Tyler Pemberton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Tyler Pemberton enrolled in Medicare?

Yes. Tyler Pemberton 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.

What insurance does Tyler Pemberton accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Tyler Pemberton 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 Tyler Pemberton was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.