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TYLER JAMES MCDANIEL RN, FNP-S
NPI 1760271597
Registered Nurse in La Grange, CA

Active since May 06, 2025PECOS EnrolledAccepts Medicare Assignment
14994 AVENIDA CENTRAL, LA GRANGE, CA 95329(209) 564-2964 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyler James Mcdaniel Rn, Fnp-s NPPES

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

TYLER JAMES MCDANIEL RN, FNP-S (NPI 1760271597) is an individual registered nurse in La Grange, California, licensed in California (95086201) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760271597
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameTYLER JAMES MCDANIELCredential: RN, FNP-S
Location Address14994 AVENIDA CENTRALLa Grange, CA 95329-9795
Mailing Address14994 Avenida CentralLa Grange, CA 95329-9795 · (209) 564-2964
Phone(209) 564-2964
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 6, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1760271597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 95086201
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
14994 AVENIDA CENTRAL, La Grange, CA 95329
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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 James Mcdaniel Rn, Fnp-s 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 ID6901390327
PECOS Enrollment IDI20251212002824
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 Tyler Mcdaniel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Radiology And Interventional Associates Inc
57 mi
Diagnostic Radiology
1800 N CALIFORNIA ST
Stockton, CA 95204
  • Reassigned Medicare billing, California enrollment
  • 110 clinicians in this Medicare group
NPI 1669123626 (209) 943-2000

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

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 Mcdaniel's NPI number?

The NPI number for Tyler Mcdaniel is 1760271597. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Tyler Mcdaniel located?

Tyler Mcdaniel practices at 14994 Avenida Central, La Grange, CA 95329. The listed phone number is (209) 564-2964.

What is Tyler Mcdaniel's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Tyler Mcdaniel enrolled in Medicare?

Yes. Tyler Mcdaniel 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 Mcdaniel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Mcdaniel reassigns Medicare benefits to Advanced Radiology And Interventional Associates Inc (Stockton, CA). 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 Mcdaniel'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 Tyler Mcdaniel was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.