MS. PAULINE TYAS APN
NPI 1972877371
Nurse Practitioner - Adult Health in Princeton Jct, NJ
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
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Pauline Tyas Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pauline Tyas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ewing, NJ 08618
- Reassigned Medicare billing, New Jersey enrollment
- 15 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.
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.
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.
PRINCETON JUNCTION, NJ 08550
PRINCETON JUNCTION, NJ 08550
PRINCETON JUNCTION, NJ 08550
PRINCETON JUNCTION, NJ 08550
PRINCETON JUNCTION, NJ 08550
PRINCETON JUNCTION, NJ 08550
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 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.
Where is Pauline Tyas located?
Pauline Tyas practices at 4065 Quakerbridge Rd, Princeton Jct, NJ 08550. The listed phone number is (609) 651-4001.
What is Pauline Tyas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Pauline Tyas enrolled in Medicare?
Yes. Pauline Tyas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pauline Tyas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pauline Tyas reassigns Medicare benefits to Mindwell Behavioral Health (Ewing, NJ). The 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 Pauline Tyas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Ms. Pauline Tyas, APN · NPI 1972877371
Adult Health physician in Princeton Jct, New Jersey. Individual provider, active in the CMS NPPES registry since March 2, 2012.
## Identity
- **NPI:** 1972877371 (Entity type: Individual)
- **Enumerated:** March 2, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 26NJ00346300 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4065 QUAKERBRIDGE RD, Princeton Jct, NJ 08550
- **Phone:** (609) 651-4001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mindwell Behavioral Health (NPI 1750037891, Ewing, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972877371) · Data from the CMS NPPES public registry.