1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Nurse Practitioner
  6. NPI Profile

TONJALIA LAURA TYUS APRN FNP-C
NPI 1639942022
Nurse Practitioner - Family in Louisville, KY

Active since November 07, 2023PECOS Enrolled
813 S 40TH ST, LOUISVILLE, KY 40211(502) 608-4471(502) 290-0579 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2025, Nov 7, 2023 (2 updates tracked since 2023).

About Tonjalia Laura Tyus Aprn Fnp-c NPPES

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

TONJALIA LAURA TYUS APRN FNP-C (NPI 1639942022) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4011669) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639942022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONJALIA LAURA TYUSCredential: APRN FNP-C
Location Address813 S 40TH STLouisville, KY 40211-2837
Mailing Address813 S 40th StLouisville, KY 40211-2837 · (502) 608-4471 · Fax (502) 290-0579
Phone(502) 608-4471
Fax(502) 290-0579
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 7, 2023
Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1639942022 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 KY · 4011669
813 S 40TH ST, Louisville, KY 40211
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100951680KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonjalia Laura Tyus Aprn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244773844
PECOS Enrollment IDI20240624004755
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.

Medicare Billing Reassignment

Medicare enrollment records show Tonjalia Tyus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardinal Health PLLC
9.3 mi
Family Medicine
9600 LAMBORNE BLVD
Louisville, KY 40272
  • Reassigned Medicare billing, Kentucky enrollment
  • 20 clinicians in this Medicare group
NPI 1265384077 (385) 207-9919

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 40211 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.

RECOVERYALISTIC CORPORATION
Nurse Practitioner (Family)
813 S 40TH ST
LOUISVILLE, KY 40211
Jefferson County (502) 608-4471
RECOVERYALISTIC CORPORATION
Nurse Practitioner (Family)
813 S 40TH ST
LOUISVILLE, KY 40211
Jefferson County (502) 608-4471

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 Tonjalia Tyus's NPI number?

The NPI number for Tonjalia Tyus is 1639942022. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Tonjalia Tyus located?

Tonjalia Tyus practices at 813 S 40th St, Louisville, KY 40211. The listed phone number is (502) 608-4471.

What is Tonjalia Tyus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tonjalia Tyus enrolled in Medicare?

Yes. Tonjalia Tyus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tonjalia Tyus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonjalia Tyus reassigns Medicare benefits to Cardinal Health PLLC (Louisville, KY). 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 Tonjalia Tyus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonjalia Tyus accept?

Health plans from Anthem Blue Cross and Blue Shield list Tonjalia Tyus 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 Tonjalia Tyus was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.