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MRS. THERESA MONTGOMERY TYRIE ARNP
NPI 1649753468
Nurse Practitioner - Adult Health in Lecanto, FL

Active since September 07, 2018PECOS Enrolled
2021 N CROOKED BRANCH DR, LECANTO, FL 34461(352) 436-4428 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Theresa Montgomery Tyrie Arnp NPPES

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

MRS. THERESA MONTGOMERY TYRIE ARNP (NPI 1649753468) is an individual adult health provider in Lecanto, Florida, licensed in Florida (ARNP9293072) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649753468
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. THERESA MONTGOMERY TYRIECredential: ARNP
Location Address2021 N CROOKED BRANCH DRLecanto, FL 34461-9453
Mailing Address2021 N Crooked Branch DrLecanto, FL 34461-9453
Phone(352) 436-4428
Sole ProprietorNo
Enumeration DateSeptember 7, 2018
✔ NPI 1649753468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · ARNP9293072
2021 N CROOKED BRANCH DR, Lecanto, FL 34461
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Other Names 1

Former Name (1)Miss Theresa Renae Montgomery

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Theresa Montgomery Tyrie Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Theresa Tyrie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Padala Family Practice, PLLC
0.2 mi
Family Medicine
2063 N LECANTO HWY STE 1
Lecanto, FL 34461
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1447505227 (352) 436-4428
Sun MD PLLC
0.2 mi
Family Medicine
2063 N LECANTO HWY
Lecanto, FL 34461
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1235731522 (352) 436-4428

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 34461 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

DR. GERMAN E. BALDEON MD
Internal Medicine
2021 N CROOKED BRANCH DR
LECANTO, FL 34461
Citrus County (352) 436-4428

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 Theresa Tyrie's NPI number?

The NPI number for Theresa Tyrie is 1649753468. It was assigned to this individual provider in the NPPES registry on September 7, 2018. The provider is also known as Miss Theresa Renae Montgomery.

Where is Theresa Tyrie located?

Theresa Tyrie practices at 2021 N Crooked Branch Dr, Lecanto, FL 34461. The listed phone number is (352) 436-4428.

What is Theresa Tyrie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theresa Tyrie enrolled in Medicare?

Yes. Theresa Tyrie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theresa Tyrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Tyrie reassigns Medicare benefits to 2 organizations: Padala Family Practice, PLLC (Lecanto, FL) and Sun MD PLLC (Lecanto, FL). Each 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 Theresa Tyrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Tyrie was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.