TYLER CHRISTLEY (PA-C) – Physician Assistant, NPI 1194514299

TYLER CHRISTLEY (PA-C) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA101900 (MA). The NPI Number for TYLER CHRISTLEY (PA-C) is 1194514299

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
TYLER CHRISTLEY (PA-C)
NPI
1194514299
Phone
(617) 414-5405
Address
960 MASSACHUSETTS AVE STE 2
Enumeration Date
5 May 2025
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7742553010
Graduation Year
2025 (1 year ago)
PAC ID
4385151380
Group Practice PAC ID
5193186492
Professional Enrollment ID
I20250725000370
Address ID
MA025403906FA40XXXSTRA300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for TYLER CHRISTLEY (PA-C)

  • 960 MASSACHUSETTS AVE STE 2

    BOSTON, MA 021182690

    Phone: (617) 414-5405

    Type: Mailing

  • 736 CAMBRIDGE ST

    BRIGHTON, MA 021352907

    Phone: (617) 789-3000

    Type: Location

  • 7 WELLINGTON LN

    DUXBURY, MA 023324214

    Phone:

    Type: Mailing

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: 2025-07-25

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
I20250725000370IPhysician AssistantMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02118)

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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: 5193186492View full group profile
NameSpecialtyState
Physician AssistantME
Physician AssistantNH
Physician AssistantNH
Physician AssistantNH
Nurse PractitionerNH
Physician AssistantMA
Emergency MedicineCA
Physician AssistantMA
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What number should I use to identify TYLER CHRISTLEY (PA-C) for billing?
Administrative and clinical systems typically use NPI 1194514299 for TYLER CHRISTLEY (PA-C).
Does the public listing show TYLER CHRISTLEY (PA-C) as active?
TYLER CHRISTLEY (PA-C)'s NPI record reflects an active status in NPPES.
What services align with TYLER CHRISTLEY (PA-C)'s listing?
TYLER CHRISTLEY (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TYLER CHRISTLEY (PA-C) tied to Boston, Massachusetts?
If you are local to Boston, Massachusetts, TYLER CHRISTLEY (PA-C) 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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