TYLER NATHAN MEMMOTT CRNA
NPI 1760059612
Nurse Anesthetist, Certified Registered in Nephi, UT

Active since June 09, 2021Accepts Medicare Assignment
66.03/100
CMS Quality Rating

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2023, Jun 9, 2021 (2 updates tracked since 2021).

About Tyler Nathan Memmott Crna NPPES

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

TYLER NATHAN MEMMOTT CRNA (NPI 1760059612) is an individual nurse anesthetist, certified registered in Nephi, Utah, licensed in Nebraska (101640) and active in the NPI registry since June 2021. He is affiliated with Utah Valley Hospital, maintains a secondary practice location in Columbus, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1760059612
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTYLER NATHAN MEMMOTTCredential: CRNA
Location Address1766 W 800 SNephi, UT 84648-5516
Mailing Address5324 42nd StreetColumbus, NE 68601 · (435) 660-0451
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 9, 2021
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
✔ NPI 1760059612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NE · 101640
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1766 W 800 S, Nephi, UT 84648

Secondary Practice Location 1

Location 14600 38th StColumbus, NE 68601-1664 · Phone (402) 564-7118

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Nathan Memmott Crna 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 ID4789085093
PECOS Enrollment IDI20230330001317

Medicare Billing Reassignment

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

Anesthesiology
48 W 1500 N
Nephi, UT 84648
  • Reassigned Medicare billing, Utah enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
20 services20 patients
Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance 64454
This procedure involves injecting anesthetic and/or steroid medication into a knee nerve branch. Imaging technology is used to ensure accurate placement of the needle. This can help reduce pain and inflammation in the knee area.
20 services20 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
14 services14 patients
Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415
This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Central Valley Medical Center - Cah

Critical Access Hospitals · Nephi, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461304
Location48 West 1500 NorthNephi, UT 84648 · Juab County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84648 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

66.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.46
Promoting Interoperability0
Improvement Activities40
Cost73.66

Other Providers at the Same Location NPPES

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

Nurse Anesthetist, Certified Registered
1766 W 800 S
NEPHI, UT 84648

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 Memmott's NPI number?

The NPI number for Tyler Memmott is 1760059612. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Tyler Memmott located?

Tyler Memmott practices at 1766 W 800 S, Nephi, UT 84648. The listed phone number is (435) 623-3000.

What is Tyler Memmott's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tyler Memmott enrolled in Medicare?

Yes. Tyler Memmott 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.

Which organization bills Medicare for Tyler Memmott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Memmott reassigns Medicare benefits to Salt Creek Anesthesia PLLC (Nephi, UT). 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 Tyler Memmott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Memmott accept?

Health plans from Select Health list Tyler Memmott 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 Tyler Memmott affiliated with any hospitals?

According to CMS data, Tyler Memmott is affiliated with Utah Valley Hospital and Central Valley Medical Center - Cah.

When was this NPI record last updated?

The NPPES record for Tyler Memmott was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.