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MR. TYSON RECORDS PA-C
NPI 1962776088
Physician Assistant in Tacoma, WA

Active since March 07, 2012PECOS EnrolledAccepts Medicare Assignment
1717 S J ST, TACOMA, WA 98405(844) 364-2778(253) 566-8777 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tyson Records Pa-c NPPES

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

MR. TYSON RECORDS PA-C (NPI 1962776088) is an individual physician assistant in Tacoma, Washington, licensed in Washington (PA60310447) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962776088
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TYSON RECORDSCredential: PA-C
Location Address1717 S J STTacoma, WA 98405-4933
Mailing Address1717 S J StTacoma, WA 98405-4933 · (844) 364-2778 · Fax (253) 566-8777
Phone(844) 364-2778
Fax(253) 566-8777
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 7, 2012
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedDecember 9, 2020
✔ NPI 1962776088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA60310447
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA60310447 (WA), 014858 (NY)
1717 S J ST, Tacoma, WA 98405
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Other Identifiers 1

Medicaid2023512WA

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

Mr. Tyson Records 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 ID7517119670
PECOS Enrollment IDI20121218000541
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.

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

ELIZABETH CULP
Registered Nurse
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6163
GLAUCIA DE CASTRO MOREIRA M.D.
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6625
GRANT ALEXANDER YELLIOTT II PA C
Physician Assistant
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6660
MS. JESSICA WAI-YING TAM MD
Internal Medicine
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6341
KARA SPRINGER CRANE PHARMD
Pharmacist
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 432-8216
BROOKE ELIZABETH CLOVER-OWENS RN
Registered Nurse (Obstetric, Inpatient)
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-4101
NATHANIEL ERIC SIEV MD
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-4101
PRISCILLA RUTH JAMES AGACNP-BC
Nurse Practitioner (Gerontology)
1717 S J ST
TACOMA, WA 98405
Pierce County (253) 426-6341

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 Tyson Records's NPI number?

The NPI number for Tyson Records is 1962776088. It was assigned to this individual provider in the NPPES registry on March 7, 2012.

Where is Tyson Records located?

Tyson Records practices at 1717 S J St, Tacoma, WA 98405. The listed phone number is (844) 364-2778.

What is Tyson Records's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tyson Records enrolled in Medicare?

Yes. Tyson Records 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 Tyson Records affiliated with any hospitals?

According to CMS data, Tyson Records is affiliated with Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Tyson Records was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.