TYLER KNUDSEN MMS,PA-C
NPI 1902389273
Physician Assistant - Surgical in Phoenix, AZ

Q: What is Tyler Knudsen's NPI number?

The NPI number for Tyler Knudsen is 1902389273. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Q: What is Tyler Knudsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Knudsen was last updated on May 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment

1635 E MYRTLE AVE STE 400, PHOENIX, AZ 85020(602) 944-2900(602) 944-0064 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 4, 2022, Feb 3, 2022, Oct 7, 2021 and 1 more (4 updates tracked since 2018).

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About Tyler Knudsen Mms,pa-c NPPES

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

TYLER KNUDSEN MMS,PA-C (NPI 1902389273) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (7312) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902389273

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameTYLER KNUDSENCredential: MMS,PA-C

Location Address1635 E MYRTLE AVE STE 400Phoenix, AZ 85020-5514

Mailing Address1635 E Myrtle Ave Ste 400Phoenix, AZ 85020-5514 · (602) 944-2900 · Fax (602) 944-0064

Phone(602) 944-2900

Fax(602) 944-0064

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 12, 2018

Last NPPES UpdateMay 4, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1902389273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 7312

1635 E MYRTLE AVE STE 400, Phoenix, AZ 85020

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Knudsen Mms,pa-c 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 ID1759628456

PECOS Enrollment IDI20190201002009

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.

Areas of Expertise CMS Part B claims 15

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

106 services63 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

49 services33 patients

Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc 63030

This procedure involves partially removing a spine bone, which may help to alleviate pressure on the lower spinal cord or nerves. It can also include disc removal. This can reduce pain and improve mobility. It's a common treatment for certain back conditions.

41 services41 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

33 services33 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

33 services33 patients

Partial removal of spine bone with release of upper or lower spinal cord or nerves and/or removal of disc, each additional interspace 63035

This procedure involves removing part of a spine bone to alleviate pressure on the spinal cord or nerves. It may also include removing a disc between the vertebrae. If needed, this can be performed on additional interspaces. This aims to reduce pain and improve mobility.

31 services21 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

26 services26 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

24 services22 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

23 services23 patients

Aspiration of bone marrow for spine bone graft 20939

Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.

20 services20 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

20 services20 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

19 services12 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

16 services16 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

16 services16 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

15 services15 patients

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Other Providers at the Same Location NPPES 7

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

MRS. KARLA N FRICK MMS,PA-C

Physician Assistant (Surgical)