KEESHA TYLER (FNP) – Family Nurse Practitioner, NPI 1174829915

KEESHA TYLER (FNP) is a healthcare provider. based in Dothan, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1-097574 (AL). The NPI Number for KEESHA TYLER (FNP) is 1174829915

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KEESHA TYLER (FNP)
NPI
1174829915
Phone
(334) 305-0400
Address
PO BOX 2266
Enumeration Date
26 January 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3343050400
Graduation Year
2010 (16 years ago)
PAC ID
4688850936
Group Practice PAC ID
8022031475
Professional Enrollment ID
I20110520000493
Address ID
AL363014770DO1450XCIRX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KEESHA TYLER (FNP)

  • PO BOX 2266

    DOTHAN, AL 363022266

    Phone: (334) 305-0400

    Fax: (334) 305-0401

    Type: Mailing

  • 4300 W Main St

    Suite 102

    Dothan, AL 363051054

    Phone: (334) 793-9564

    Fax: (334) 671-8907

    Type: Location

  • 1450 ROSS CLARK CIR STE 400

    DOTHAN, AL 363014770

    Phone: (334) 305-0400

    Fax: (334) 305-0401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 211 Open Payments records for all available years, with a total value of $4,584.

Total Amount is formed as General ($4,584) + Research ($0) + Ownership ($0) = $4,584.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($887).

Total Amount

$4,584

General + Research + Ownership

Payments

211

Total payment records

General Amount

$4,584

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110520000493INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes819544$0
71046X-ray of chest, 2 views398307$0
94010Test to measure expiratory airflow and volume191181$0
99213Established patient office or other outpatient visit, 20-29 minutes106102$0
94618Test for exercise-induced lung stress8784$0
View full utilization report →

Insurance plans in this area (ZIP 36302)

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Provider's Procedures

KEESHA TYLER (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERAL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022031475View full group profile
NameSpecialtyState
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Physician AssistantAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Pulmonary DiseaseAL
Nurse PractitionerAL
Pulmonary DiseaseAL

Reviews

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Frequently asked questions

Is KEESHA TYLER (FNP) listed with a National Provider Identifier?
Yes — KEESHA TYLER (FNP) has NPI 1174829915 on file in the registry.
Is there an active status for KEESHA TYLER (FNP)?
For scheduling context, KEESHA TYLER (FNP) is shown as active in the registry.
What clinical focus is listed for KEESHA TYLER (FNP)?
At a glance, KEESHA TYLER (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KEESHA TYLER (FNP) located near Dothan?
KEESHA TYLER (FNP) currently maps to Dothan, Alabama in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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