MS. PAULINE TYAS APN
NPI 1972877371
Nurse Practitioner - Adult Health in Princeton Jct, NJ

Q: What is Pauline Tyas's NPI number?

The NPI number for Pauline Tyas is 1972877371. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Q: What is Pauline Tyas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Pauline Tyas was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 02, 2012PECOS Enrolled

4065 QUAKERBRIDGE RD, PRINCETON JCT, NJ 08550(609) 651-4001 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2026, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Ms. Pauline Tyas Apn NPPES

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

MS. PAULINE TYAS APN (NPI 1972877371) is an individual adult health provider in Princeton Jct, New Jersey, licensed in New Jersey (26NJ00346300) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972877371

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. PAULINE TYASCredential: APN

Location Address4065 QUAKERBRIDGE RDPrinceton Jct, NJ 08550

Mailing Address1 Waterworks RdFreehold, NJ 07728-4231 · (732) 866-3665

Phone(609) 651-4001

Sole ProprietorYes

Enumeration DateMarch 2, 2012

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1972877371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ00346300

4065 QUAKERBRIDGE RD, Princeton Jct, NJ 08550

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11901 N Olden Avenue Ext Ste 29Ewing, NJ 08618-2111 · Phone (609) 237-7100 · Fax (609) 616-7904

Location 21 Waterworks RdFreehold, NJ 07728-4231 · Phone (732) 866-3665

Location 317 Andover CtBordentown, NJ 08505-3163 · Phone (732) 763-8360

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Pauline Tyas Apn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08550 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOPI MUKKAVILLI, MD

Internal Medicine (Sleep Medicine)