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PATRICIA KELLEHER TYNAN AGNP
NPI 1811462310
Nurse Practitioner in Huntington Beach, CA

Active since October 10, 2018PECOS EnrolledAccepts Medicare Assignment
7881 EDINGER AVE STE 124, HUNTINGTON BEACH, CA 92647(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 12, 2025, Jan 15, 2020, Oct 10, 2018 (3 updates tracked since 2018).

About Patricia Kelleher Tynan Agnp NPPES

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

PATRICIA KELLEHER TYNAN AGNP (NPI 1811462310) is an individual nurse practitioner in Huntington Beach, California, licensed in California (95009415) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811462310
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePATRICIA KELLEHER TYNANCredential: AGNP
Location Address7881 EDINGER AVE STE 124Huntington Beach, CA 92647-7647
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 10, 2018
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1811462310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95009415
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License NP95009415 (CA)
7881 EDINGER AVE STE 124, Huntington Beach, CA 92647
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Secondary Practice Locations 2

Location 16692 Carlow DrHuntington Beach, CA 92647-3113 · Phone (714) 791-0302 · Fax (714) 289-2655
Location 2100 E Valencia Mesa DrFullerton, CA 92835-3813 · Phone (714) 446-5154 · Fax (714) 446-5174

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

Patricia Kelleher Tynan Agnp 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 ID4880020932
PECOS Enrollment IDI20200207001899
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 Reassignments

2

Medicare enrollment records show Patricia Tynan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary And Multi Specialty Clinics Of Anaheim Inc
5.9 mi
Primary Care
3030 W BALL RD
Anaheim, CA 92804
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
NPI 1386356178 (657) 337-5055
One Medical Seniors Group, Inc.
33 mi
Family Medicine
9725 WILSHIRE BLVD
Beverly Hills, CA 90212
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1760130413 (323) 305-7150

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services31 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92647 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER KIM M.D.
Family Medicine
7881 EDINGER AVE STE 124
HUNTINGTON BEACH, CA 92647
Orange County (888) 663-6331

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 Patricia Tynan's NPI number?

The NPI number for Patricia Tynan is 1811462310. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Patricia Tynan located?

Patricia Tynan practices at 7881 Edinger Ave Ste 124, Huntington Beach, CA 92647. The listed phone number is (888) 663-6331.

What is Patricia Tynan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Patricia Tynan enrolled in Medicare?

Yes. Patricia Tynan 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 Patricia Tynan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Tynan reassigns Medicare benefits to 2 organizations: Primary And Multi Specialty Clinics Of Anaheim Inc (Anaheim, CA) and One Medical Seniors Group, Inc. (Beverly Hills, CA). 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 Patricia Tynan'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 Patricia Tynan was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.