TYLER ZACHARY GILLINGHAM NP
NPI 1952936353
Nurse Practitioner - Family in Boston, MA

Q: What is Tyler Gillingham's NPI number?

The NPI number for Tyler Gillingham is 1952936353. It was assigned to this individual provider in the NPPES registry on March 5, 2020.

Q: What is Tyler Gillingham'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 Gillingham was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 March 05, 2020PECOS EnrolledAccepts Medicare Assignment

1340 BOYLSTON ST, BOSTON, MA 02215(617) 247-7555(617) 638-0033 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 16, 2024, Aug 24, 2022, Sep 30, 2020 and 1 more (4 updates tracked since 2020).

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About Tyler Zachary Gillingham Np NPPES

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

TYLER ZACHARY GILLINGHAM NP (NPI 1952936353) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2328949) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952936353

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTYLER ZACHARY GILLINGHAMCredential: NP

Location Address1340 BOYLSTON STBoston, MA 02215-4302

Mailing Address1340 Boylston StBoston, MA 02215-4302 · (617) 247-7555 · Fax (617) 638-0033

Phone(617) 247-7555

Fax(617) 638-0033

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 5, 2020

Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2024

✔ NPI 1952936353 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

License✔ Licensed in MA · RN2328949

Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License RN2328949 (MA)

1340 BOYLSTON ST, Boston, MA 02215

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Zachary Gillingham 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 ID1759791882

PECOS Enrollment IDI20201102000062

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.

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220086

Location330 Brookline AvenueBoston, MA 02215 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02215 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

FENWAY COMMUNITY HEALTH CENTER, INC

Clinic/Center (Federally Qualified Health Center (FQHC))