POORNIMA GAUR TYAGI
NPI 1679086318
Nurse Practitioner in Tampa, FL

Active since November 15, 2017PECOS EnrolledAccepts Medicare Assignment
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7365(813) 449-8618 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jan 29, 2026, Oct 28, 2022 and 1 more (4 updates tracked since 2017).

About Poornima Gaur Tyagi NPPES

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

POORNIMA GAUR TYAGI (NPI 1679086318) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN9316304) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of University Of South Florida College Of Medicine (2017).

NPPES Registry Identity

NPI1679086318
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePOORNIMA GAUR TYAGI
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-7365 · Fax (813) 449-8618
Fax(813) 449-8618
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2017
Enumeration DateNovember 15, 2017
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1679086318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN9316304
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9316304 (FL)
12902 USF MAGNOLIA DR, Tampa, FL 33612

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

Poornima Gaur Tyagi 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 ID3779842760
PECOS Enrollment IDI20180119002069
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.

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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 20

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

Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612

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 Poornima Tyagi's NPI number?

The NPI number for Poornima Tyagi is 1679086318. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Where is Poornima Tyagi located?

Poornima Tyagi practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-7365.

What is Poornima Tyagi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Poornima Tyagi enrolled in Medicare?

Yes. Poornima Tyagi 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 Poornima Tyagi accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Poornima Tyagi 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.

Is Poornima Tyagi affiliated with any hospitals?

According to CMS data, Poornima Tyagi is affiliated with St Josephs Hospital and Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Poornima Tyagi was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.