Jaclyn Rae Tyson, CRNP in Easton, PA - Medicare Nurse Practitioner

Jaclyn Rae Tyson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Easton, Pennsylvania. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Physician Group Inc, Gslpg, Inc and her current practice location is 3735 Nazareth Rd Ste 206, Easton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 503-8281.

Jaclyn Rae Tyson is licensed to practice in Pennsylvania (license number SP014350) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740661693.

Contact Information

	Jaclyn Rae Tyson, CRNP
	3735 Nazareth Rd Ste 206, Easton, PA 18045-8346
	(484) 503-8281
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Rae Tyson
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	3735 Nazareth Rd Ste 206, Easton, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Rae Tyson graduated from nursing school in 2014

NPI Data:

NPI Number: 1740661693
Provider Enumeration Date: 06/16/2015
Last Update Date: 11/11/2025

Medicare PECOS Information:

PECOS PAC ID: 7719395441
Enrollment ID: I20210419002698

Medical Identifiers

Medical identifiers for Jaclyn Rae Tyson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740661693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP014350 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Hospital - Anderson Campus	Easton, PA	Hospital
St Luke's Hospital Bethlehem	Bethlehem, PA	Hospital
St Luke's Hospital - Monroe Campus	Stroudsburg, PA	Hospital
St Luke's Hospital - Easton Campus	Easton, PA	Hospital
St Luke's Warren Hospital	Phillipsburg, NJ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Lukes Physician Group Inc	6709798333	1858
Gslpg, Inc	7810226875	201

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. Jaclyn Rae Tyson allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Gslpg, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366006702 PECOS PAC ID: 7810226875 Enrollment ID: O20190917001763

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. Jaclyn Rae Tyson 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
Jaclyn Rae Tyson, CRNP 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (484) 503-8281	Jaclyn Rae Tyson, CRNP 3735 Nazareth Rd Ste 206, Easton, PA 18045-8346 Ph: (484) 503-8281

Reviews and Comments

Nurse Practitioner Nurses in Easton, PA

Tyler Mclean, CRNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd, Easton, PA 18045 Phone: 484-591-7205
Mrs. Elizabeth Renee Hill, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 866-785-8537
Kyle Latourette, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 St Lukes Blvd, Easton, PA 18045 Phone: 484-503-4673
Jamila Gummo, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2884 Hodle Ave, Easton, PA 18045 Phone: 161-078-1981
Nichole Padron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N 3rd St, 2nd Floor, Easton, PA 18042 Phone: 484-503-8010
Amanda Alicia Johns, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3701 Corriere Rd Ste 10, Easton, PA 18045 Phone: 484-591-7205
Mrs. Bianca Nicole Cardeiro, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 866-785-8537

Jaclyn Rae Tyson, CRNP - Medicare Nurse Practitioner in Easton, PA