TYRONE JERMAINE WALCOTT NP
NPI 1942199526
Nurse Practitioner in Rancho Cucamonga, CA

Active since June 30, 2025PECOS EnrolledAccepts Medicare Assignment
10801 6TH ST STE 120, RANCHO CUCAMONGA, CA 91730(800) 440-4347 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2026, Nov 24, 2025, Jul 7, 2025 and 1 more (4 updates tracked since 2025).

About Tyrone Jermaine Walcott Np NPPES

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

TYRONE JERMAINE WALCOTT NP (NPI 1942199526) is an individual nurse practitioner in Rancho Cucamonga, California, licensed in California (5022573) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Chino Hills.

NPPES Registry Identity

NPI1942199526
Entity TypeIndividual
Primary Taxonomy363L00000X
Provider Legal NameTYRONE JERMAINE WALCOTTCredential: NP
Location Address10801 6TH ST STE 120Rancho Cucamonga, CA 91730-5987
Mailing Address4195 Chino Hills PkwyChino Hills, CA 91709-2618 · (910) 323-1718
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 30, 2025
Last NPPES UpdateApril 24, 20264 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
NPI 1942199526 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 · 5022573
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 · GerontologyTaxonomy 363LG0600X · License 5022573 (NC)
10801 6TH ST STE 120, Rancho Cucamonga, CA 91730

Secondary Practice Location 1

Location 14195 Chino Hills PkwyChino Hills, CA 91709-2618 · Phone (732) 322-0213

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

Tyrone Jermaine Walcott Np 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 ID9436655149
PECOS Enrollment IDI20251001003878
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Community Health Worker
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730
Pharmacist
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730
Community Health Worker
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730
Community Health Worker
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730
Community Health Worker
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730
Community Health Worker
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730
Community Health Worker
10801 6TH ST STE 120
RANCHO CUCAMONGA, CA 91730

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 Tyrone Walcott's NPI number?

The NPI number for Tyrone Walcott is 1942199526. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Tyrone Walcott located?

Tyrone Walcott practices at 10801 6th St Ste 120, Rancho Cucamonga, CA 91730. The listed phone number is (800) 440-4347.

What is Tyrone Walcott's specialty?

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

Is Tyrone Walcott enrolled in Medicare?

Yes. Tyrone Walcott 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.

Is Tyrone Walcott affiliated with any hospitals?

According to CMS data, Tyrone Walcott is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Tyrone Walcott was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.