Ms Victoria Lynn Tyra, RN, FNP-C - Medicare Nurse Practitioner in Sussex, WI

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Ms Victoria Lynn Tyra, RN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sussex, Wisconsin. Her current practice location is N61w23044 Harrys Way, Sussex, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (866) 275-3737.

Ms Victoria Lynn Tyra is licensed to practice in Texas (license number AP117203) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164679510.

Contact Information

Ms Victoria Lynn Tyra, RN, FNP-C
N61w23044 Harrys Way,
Sussex, WI 53089-3995
(866) 275-3737
(414) 566-7613

Map and Direction




Provider's Profile

Full NameMs Victoria Lynn Tyra
GenderFemale
SpecialityNurse Practitioner - Family
LocationN61w23044 Harrys Way, Sussex, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164679510
  • Provider Enumeration Date: 08/27/2008
  • Last Update Date: 01/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0547418428
  • Enrollment ID: I20120920000168

Medical Identifiers

Medical identifiers for Ms Victoria Lynn Tyra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164679510NPI-NPPES
308376801MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APNP9249 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 71009011B (Indiana)Secondary
363LF0000XNurse Practitioner - Family 64317 (New Mexico)Secondary
363LF0000XNurse Practitioner - Family 903244 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 0024181497 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0030325 (Ohio)Secondary
363LF0000XNurse Practitioner - Family F349235-01 (New York)Secondary
363LF0000XNurse Practitioner - Family 95025997 (California)Secondary
363LF0000XNurse Practitioner - Family AP117203 (Texas)Primary

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. Ms Victoria Lynn Tyra allows following entities to bill medicare on her behalf.
Entity NameFrisco Medical Surgical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477740231
PECOS PAC ID: 8729102538
Enrollment ID: O20100831000950
Entity NamePatel Transitions Mht Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518354646
PECOS PAC ID: 1658691837
Enrollment ID: O20150529001375

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. Ms Victoria Lynn Tyra 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 AddressPractice Location Address
Ms Victoria Lynn Tyra, RN, FNP-C
1713 Sonnet Dr,
Grapevine, TX 76051-2706

Ph: (972) 977-9421		Ms Victoria Lynn Tyra, RN, FNP-C
N61w23044 Harrys Way,
Sussex, WI 53089-3995

Ph: (866) 275-3737

Reviews and Comments


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Samantha Sippl, APNP
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Andrea R Enters, NURSE PRACTITIONER
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Michelle M Mindham, APNP
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Donald J. Daley Jr., N.P.
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Practice Location: W227n6103 Sussex Rd, Sussex, WI 53089
Phone: 414-566-8100    Fax: 414-566-8038
Michele Darlene Rocke, FNP
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Practice Location: W227n6103 Sussex Rd, Sussex, WI 53089
Phone: 715-614-9497    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.