TYSON SCOTT HADERLIE CRNA
NPI 1972083400
Nurse Anesthetist, Certified Registered in Naples, FL
About Tyson Scott Haderlie Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYSON SCOTT HADERLIE CRNA (NPI 1972083400) is an individual nurse anesthetist, certified registered in Naples, Florida, licensed in Florida (125894) and active in the NPI registry since August 2018. He is affiliated with Spring Valley Hospital Medical Center, maintains a secondary practice location in Henderson, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tyson Scott Haderlie Crna 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tyson Haderlie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Henderson, NV 89052
- Reassigned Medicare billing, Nevada enrollment
- 95 clinicians in this Medicare group
Las Vegas, NV 89113
- Reassigned Medicare billing, Nevada enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spring Valley Hospital Medical Center
Acute Care Hospitals · Las Vegas, NVSouthern Hills Hospital And Medical Center
Acute Care Hospitals · Las Vegas, NVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NAPLES, FL 34102
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 Haderlie's NPI number?
The NPI number for Tyson Haderlie is 1972083400. It was assigned to this individual provider in the NPPES registry on August 15, 2018.
Where is Tyson Haderlie located?
Tyson Haderlie practices at 350 7th St N, Naples, FL 34102. The listed phone number is (239) 624-5000.
What is Tyson Haderlie's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tyson Haderlie enrolled in Medicare?
Yes. Tyson Haderlie 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.
Which organizations bill Medicare for Tyson Haderlie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Haderlie reassigns Medicare benefits to 2 organizations: Valley Anesthesiology Consultants-Beckett-PLLC (Henderson, NV) and Praxis Anesthesia Kravchenko Group PC (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyson Haderlie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tyson Haderlie affiliated with any hospitals?
According to CMS data, Tyson Haderlie is affiliated with Spring Valley Hospital Medical Center and Southern Hills Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Tyson Haderlie was last updated on April 6, 2021. 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.
# Tyson Scott Haderlie, CRNA · NPI 1972083400
Nurse Anesthetist, Certified Registered physician in Naples, Florida. Individual provider, active in the CMS NPPES registry since August 15, 2018.
## Identity
- **NPI:** 1972083400 (Entity type: Individual)
- **Enumerated:** August 15, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 125894 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 7TH ST N, Naples, FL 34102-5754
- **Phone:** (239) 624-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Valley Anesthesiology Consultants-Beckett-PLLC (NPI 1437326857, Henderson, NV); Praxis Anesthesia Kravchenko Group PC (NPI 1023956430, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1972083400) · Data from the CMS NPPES public registry.