Adam James Tyler, APRN in Elkhart, IN - Medicare Nurse Practitioner

Adam James Tyler, APRN is a medicare enrolled "Nurse Practitioner" in Elkhart, Indiana. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice My Mobile Md Llc and his current practice location is 1753 Fulton St, Elkhart, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 293-9448.

Adam James Tyler is licensed to practice in Indiana (license number 71012584A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174298764.

Contact Information

	Adam James Tyler, APRN
	1753 Fulton St, Elkhart, IN 46514-1927
	(574) 293-9448
	(574) 293-9480

Map and Direction

Provider's Profile

Full Name	Adam James Tyler
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1753 Fulton St, Elkhart, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Adam James Tyler graduated from nursing school in 2020

NPI Data:

NPI Number: 1174298764
Provider Enumeration Date: 08/16/2021
Last Update Date: 11/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9739568288
Enrollment ID: I20220614001418

Medical Identifiers

Medical identifiers for Adam James Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174298764	NPI	-	NPPES
300064075	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28220091A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71012584A (Indiana)	Primary
363LF0000X	Nurse Practitioner - Family	2021085859 (Indiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
My Mobile Md Llc	1052617826	25

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam James Tyler allows following entities to bill medicare on his behalf.

Entity Name	Vpa Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366768160 PECOS PAC ID: 9234041948 Enrollment ID: O20090318000016

Entity Name	My Mobile Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225495716 PECOS PAC ID: 1052617826 Enrollment ID: O20160304001699

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam James Tyler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adam James Tyler, APRN 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-6592	Adam James Tyler, APRN 1753 Fulton St, Elkhart, IN 46514-1927 Ph: (574) 293-9448

Reviews and Comments

Nurse Practitioner Nurses in Elkhart, IN

Elizabeth W Maina, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ms. Cecilia Mumbi Maina, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Mr. Kenneth Francis Raderstorf Iii, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3301 County Road 6 E, Elkhart, IN 46514 Phone: 574-266-5342 Fax: 574-266-5847
Rosemary J Eash, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1627 E Bristol St, Elkhart, IN 46514 Phone: 574-262-0313 Fax: 574-262-8163
Lorraine Doris Swartzentruber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 236 Simpson Ave, Elkhart, IN 46516 Phone: 574-293-0052
Ashley Marie Brunt, NURSE PRA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Arcade Ave Ste 400, Elkhart, IN 46514 Phone: 574-522-2284 Fax: 574-522-3952
Mrs. Catherine E Dos Santos, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3421 S Main St, Elkhart, IN 46517 Phone: 574-295-7178 Fax: 574-295-8822

Adam James Tyler, APRN - Medicare Nurse Practitioner in Elkhart, IN