TYLER WILLIAM RANDALL
NPI 1780241794
Nurse Practitioner - Family in Canon City, CO
About Tyler William Randall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER WILLIAM RANDALL (NPI 1780241794) is an individual family provider in Canon City, Colorado, licensed in Colorado (APN.0994692-NP) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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 William Randall 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
4Medicare enrollment records show Tyler Randall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 915 clinicians in this Medicare group
Sedro Woolley, WA 98284
- Reassigned Medicare billing, Washington enrollment
- 139 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina enrollment
- 511 clinicians in this Medicare group
Troy, NC 27371
- Reassigned Medicare billing, North Carolina enrollment
- 333 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 81212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
CANON CITY, CO 81212
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 Randall's NPI number?
The NPI number for Tyler Randall is 1780241794. It was assigned to this individual provider in the NPPES registry on May 24, 2019.
Where is Tyler Randall located?
Tyler Randall practices at 1338 Phay Ave, Canon City, CO 81212. The listed phone number is (719) 285-2000.
What is Tyler Randall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tyler Randall enrolled in Medicare?
Yes. Tyler Randall 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 Tyler Randall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Randall reassigns Medicare benefits to 4 organizations: South Sound Inpatient Physicians PLLC (Spokane, WA), Sound Physicians Emergency Medicine Of Washington PLLC (Sedro Woolley, WA), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA) and Fhpg, LLC (Troy, NC). 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 Tyler Randall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyler Randall accept?
Health plans from Cigna Healthcare and Providence Health Plan list Tyler Randall 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.
When was this NPI record last updated?
The NPPES record for Tyler Randall was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Tyler William Randall · NPI 1780241794
Family physician in Canon City, Colorado. Individual provider, active in the CMS NPPES registry since May 24, 2019.
## Identity
- **NPI:** 1780241794 (Entity type: Individual)
- **Enumerated:** May 24, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN.0994692-NP (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1338 PHAY AVE, Canon City, CO 81212-2311
- **Phone:** (719) 285-2000
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): South Sound Inpatient Physicians PLLC (NPI 1275785107, Spokane, WA); Sound Physicians Emergency Medicine Of Washington PLLC (NPI 1629532064, Sedro Woolley, WA); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Fhpg, LLC (NPI 1952830432, Troy, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780241794) · Data from the CMS NPPES public registry.