TYLER BOLLINGER AA
NPI 1760841415
Anesthesiologist Assistant in Kansas City, MO

Active since February 22, 2016Accepts Medicare Assignment
77.28/100
CMS Quality Rating
4401 WORNALL RD, KANSAS CITY, MO 64111(816) 932-3679 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyler Bollinger Aa NPPES

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

TYLER BOLLINGER AA (NPI 1760841415) is an individual anesthesiologist assistant in Kansas City, Missouri and active in the NPI registry since February 2016. He is affiliated with St Lukes Hospital Of Kansas City and is a graduate of Other (2016).

NPPES Registry Identity

NPI1760841415
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameTYLER BOLLINGERCredential: AA
Location Address4401 WORNALL RDKansas City, MO 64111-3220
Mailing Address2318 Somerset DrPrairie Village, KS 66206-1244 · (913) 744-9150
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 22, 2016
Last NPPES UpdateJuly 6, 2016
✔ NPI 1760841415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
4401 WORNALL RD, Kansas City, MO 64111

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 Bollinger Aa 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 ID648562736
PECOS Enrollment IDI20160711001365

Medicare Billing Reassignment

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

Family Medicine
901 E 104TH ST, MS 400N
Kansas City, MO 64131
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Saint Lukes Physician Group Inc
  • 1,339 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.

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

Registered Nurse (Neonatal Intensive Care)
4401 WORNALL RD
KANSAS CITY, MO 64111
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Radiology (Diagnostic Radiology)
4401 WORNALL RD
KANSAS CITY, MO 64111
Anesthesiologist Assistant
4401 WORNALL RD
KANSAS CITY, MO 64111
Internal Medicine
4401 WORNALL RD
KANSAS CITY, MO 64111
Physical Medicine & Rehabilitation
4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4
KANSAS CITY, MO 64111
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111

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 Bollinger's NPI number?

The NPI number for Tyler Bollinger is 1760841415. It was assigned to this individual provider in the NPPES registry on February 22, 2016.

Where is Tyler Bollinger located?

Tyler Bollinger practices at 4401 Wornall Rd, Kansas City, MO 64111. The listed phone number is (816) 932-3679.

What is Tyler Bollinger's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Tyler Bollinger enrolled in Medicare?

Yes. Tyler Bollinger 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 Bollinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Bollinger reassigns Medicare benefits to Saint Luke's Physician Group Inc (Kansas City, MO). 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 Bollinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Bollinger accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Tyler Bollinger 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 Bollinger affiliated with any hospitals?

According to CMS data, Tyler Bollinger is affiliated with St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Tyler Bollinger was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.