TYLER BOLLINGER (AA) – Anesthesiologist Assistant, NPI 1760841415

TYLER BOLLINGER (AA) is a healthcare provider. based in Prairie village, Kansas. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. The NPI Number for TYLER BOLLINGER (AA) is 1760841415

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TYLER BOLLINGER (AA)
NPI
1760841415
Phone
(913) 744-9150
Address
2318 SOMERSET DR
Enumeration Date
22 February 2016
Last Update Date
6 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8169323100
Graduation Year
2016 (10 years ago)
PAC ID
0648562736
Group Practice PAC ID
3577476894
Professional Enrollment ID
I20160711001365
Address ID
MO641113220KA4401XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

357 ANESTHESIOLOGY ASSISTANT in MO

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Provider Addresses for TYLER BOLLINGER (AA)

  • 2318, Somerset Drive, Meadow Lake, Prairie Village, Johnson County, Kansas, 66206, United States

    PRAIRIE VILLAGE, KS 662061244

    Phone: (913) 744-9150

    Type: Mailing

  • 4401, Wornall Road, Plaza-Westport, Country Club Plaza, Kansas City, Jackson County, Missouri, 64111, United States

    KANSAS CITY, MO 641113220

    Phone: (816) 932-3679

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-07-11

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
I20160711001365IAnesthesiology AssistantMOTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 66206)

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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: 3577476894View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMO
Diagnostic RadiologyMO
Nurse PractitionerMO
Internal MedicineMO
Cardiovascular Disease (Cardiology)KS
Family PracticeMO
Hospitalist, Internal MedicineMO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
-MO

Reviews

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Frequently asked questions

What is the standard ID for TYLER BOLLINGER (AA) in the U.S.?
In the U.S., TYLER BOLLINGER (AA) is identified by NPI 1760841415.
Quick check: is TYLER BOLLINGER (AA) active?
Public NPPES data shows TYLER BOLLINGER (AA) with an active NPI status right now.
What does the directory say TYLER BOLLINGER (AA) does?
Insurance directories may phrase it differently, but here TYLER BOLLINGER (AA) maps to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is TYLER BOLLINGER (AA) tied to Prairie Village, Kansas?
If you are local to Prairie Village, Kansas, TYLER BOLLINGER (AA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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