TYRA LEE NURSE PRACTITIONER
NPI 1760287072
Nurse Practitioner - Family in Englishtown, NJ
About Tyra Lee Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRA LEE NURSE PRACTITIONER (NPI 1760287072) is an individual family provider in Englishtown, New Jersey, licensed in New Jersey (26NJ15119100) and active in the NPI registry since February 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Tyra Lee Nurse Practitioner 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tyra Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Matawan, NJ 07747
- Reassigned Medicare billing, New Jersey enrollment
- 3 clinicians in this Medicare group
Jersey City, NJ 07306
- Reassigned Medicare billing, New Jersey enrollment
- 7 clinicians in this Medicare group
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 3 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENGLISHTOWN, NJ 07726
ENGLISHTOWN, NJ 07726
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 Tyra Lee's NPI number?
The NPI number for Tyra Lee is 1760287072. It was assigned to this individual provider in the NPPES registry on February 19, 2025.
Where is Tyra Lee located?
Tyra Lee practices at 55 Willow Ln, Englishtown, NJ 07726. The listed phone number is (732) 612-9833.
What is Tyra Lee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tyra Lee enrolled in Medicare?
Yes. Tyra Lee 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 organizations bill Medicare for Tyra Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyra Lee reassigns Medicare benefits to 3 organizations: Core Zone Integrated Medical And Wellness (Matawan, NJ), Hadiatou Diallo's Primary & Mental Care LLC (Jersey City, NJ) and Advanced Rehabilitative Medicine Associates PC (Wayne, NJ). 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 Tyra Lee'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 Tyra Lee was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Tyra Lee, NURSE PRACTITIONER · NPI 1760287072
Family physician in Englishtown, New Jersey. Individual provider, active in the CMS NPPES registry since February 19, 2025.
## Identity
- **NPI:** 1760287072 (Entity type: Individual)
- **Enumerated:** February 19, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15119100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 WILLOW LN, Englishtown, NJ 07726-8434
- **Phone:** (732) 612-9833
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Core Zone Integrated Medical And Wellness (NPI 1922763606, Matawan, NJ); Hadiatou Diallo's Primary & Mental Care LLC (NPI 1780411587, Jersey City, NJ); Advanced Rehabilitative Medicine Associates PC (NPI 1295853950, Wayne, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1760287072) · Data from the CMS NPPES public registry.