TYLER NORTHRUP
NPI 1801530191
Emergency Medicine in Lewistown, MT

Active since April 23, 2022PECOS Enrolled
408 WENDELL AVE, LEWISTOWN, MT 59457(406) 535-7711 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Apr 23, 2022 (2 updates tracked since 2022).

About Tyler Northrup NPPES

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

TYLER NORTHRUP (NPI 1801530191) is an individual emergency medicine provider in Lewistown, Montana, licensed in Montana (MED-PHYS-LIC-174119) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clinton Twp.

NPPES Registry Identity

NPI1801530191
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTYLER NORTHRUP
Location Address408 WENDELL AVELewistown, MT 59457-2261
Mailing Address408 Wendell AveLewistown, MT 59457-2261 · (406) 535-7711
Sole ProprietorYes
Enumeration DateApril 23, 2022
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1801530191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MT · MED-PHYS-LIC-174119
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
408 WENDELL AVE, Lewistown, MT 59457

Secondary Practice Location 1

Location 115855 19 Mile RdClinton Twp, MI 48038-3504 · Phone (586) 263-2300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Northrup is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59457 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine (Emergency Medical Services)
408 WENDELL AVE
LEWISTOWN, MT 59457
Nurse Practitioner (Gerontology)
408 WENDELL AVE
LEWISTOWN, MT 59457
Nurse Practitioner
408 WENDELL AVE
LEWISTOWN, MT 59457
Family Medicine
408 WENDELL AVE
LEWISTOWN, MT 59457
Emergency Medicine
408 WENDELL AVE
LEWISTOWN, MT 59457
Physical Therapist
408 WENDELL AVE
LEWISTOWN, MT 59457
Counselor (Mental Health)
408 WENDELL AVE
LEWISTOWN, MT 59457
Speech-Language Pathologist
408 WENDELL AVE
LEWISTOWN, MT 59457

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 Northrup's NPI number?

The NPI number for Tyler Northrup is 1801530191. It was assigned to this individual provider in the NPPES registry on April 23, 2022.

Where is Tyler Northrup located?

Tyler Northrup practices at 408 Wendell Ave, Lewistown, MT 59457. The listed phone number is (406) 535-7711.

What is Tyler Northrup's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tyler Northrup enrolled in Medicare?

Yes. Tyler Northrup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Northrup was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.