SIAH GRACE TYLER APN
NPI 1649050964
Nurse Practitioner - Family in Newark, NJ

Active since October 03, 2023PECOS EnrolledAccepts Medicare Assignment
14 HALLECK ST, NEWARK, NJ 07104(862) 224-0395 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Siah Grace Tyler Apn NPPES

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

SIAH GRACE TYLER APN (NPI 1649050964) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ14851100) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Bergen New Bridge Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649050964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIAH GRACE TYLERCredential: APN
Location Address14 HALLECK STNewark, NJ 07104-3504
Mailing Address14 Halleck StNewark, NJ 07104-3504
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
NPI 1649050964 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 NJ · 26NJ14851100
14 HALLECK ST, Newark, NJ 07104

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

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

Siah Grace Tyler Apn 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 ID6507214384
PECOS Enrollment IDI20231205001296
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
85 services81 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ
OwnershipVoluntary non-profit - Private
CMS Certification Number310058
Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County
Emergency services

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07104 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 Siah Tyler's NPI number?

The NPI number for Siah Tyler is 1649050964. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Siah Tyler located?

Siah Tyler practices at 14 Halleck St, Newark, NJ 07104. The listed phone number is (862) 224-0395.

What is Siah Tyler's specialty?

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

Is Siah Tyler enrolled in Medicare?

Yes. Siah Tyler 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.

Is Siah Tyler affiliated with any hospitals?

According to CMS data, Siah Tyler is affiliated with Bergen New Bridge Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Siah Tyler was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.