TYLER GLASSFORD FNP-C
NPI 1912638487
Nurse Practitioner - Family in Casa Grande, AZ

Q: What is Tyler Glassford's NPI number?

The NPI number for Tyler Glassford is 1912638487. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Q: What is Tyler Glassford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Glassford was last updated on August 21, 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.

Active since June 23, 2022PECOS Enrolled

1863 EAST FLORENCE BLVD, CASA GRANDE, AZ 85122(520) 836-3446 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2026, Aug 23, 2022 (2 updates tracked since 2022).

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About Tyler Glassford Fnp-c NPPES

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

TYLER GLASSFORD FNP-C (NPI 1912638487) is an individual family provider in Casa Grande, Arizona, licensed in Arizona (278544) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912638487

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTYLER GLASSFORDCredential: FNP-C

Location Address1863 EAST FLORENCE BLVDCasa Grande, AZ 85122

Mailing AddressPo Box 96395Phoenix, AZ 85072-6395 · (520) 836-3446

Phone(520) 836-3446

Sole ProprietorNo

Enumeration DateJune 23, 2022

Last NPPES UpdateAugust 21, 20262 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1912638487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · 278544✔ Licensed in UT · 11217804-3102

Also ListedRegistered NurseTaxonomy 163W00000X · License 11217804-3102 (UT)

1863 EAST FLORENCE BLVD, Casa Grande, AZ 85122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Glassford Fnp-c 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.

Medicare Billing Reassignment

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

Sun Life Family Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

1863 EAST FLORENCE BLVD
Casa Grande, AZ 85122

Reassigned Medicare billing, Arizona enrollment
80 clinicians in this Medicare group

NPI 1639831985 (520) 836-3446

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

MS. SARA ELIZABETH MASSARO NP

Nurse Practitioner (Family)