MR. HOWARD V. TYREE (PA-C) – Physician Assistant, NPI 1053545657

MR. HOWARD V. TYREE (PA-C) is a healthcare provider. based in Traverse city, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601003680 (MI). The NPI Number for MR. HOWARD V. TYREE (PA-C) is 1053545657

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. HOWARD V. TYREE (PA-C)
NPI
1053545657
Phone
(231) 946-8970
Address
4075 COPPER RIDGE DR
Enumeration Date
11 May 2009
Last Update Date
29 June 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9892466490
Graduation Year
2001 (25 years ago)
PAC ID
3971417049
Group Practice PAC ID
0143262915
Professional Enrollment ID
I20031113000757
Address ID
MI486247003GL1105XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Loading map...

Provider Addresses for MR. HOWARD V. TYREE (PA-C)

  • Copper Ridge Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496847059

    Phone: (231) 946-8970

    Fax: (231) 932-4118

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2003-11-13

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
I20031113000757IPhysician AssistantMITBD

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 49684)

Loading plans...

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: 0143262915View full group profile
NameSpecialtyState
General Practice, Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for MR. HOWARD V. TYREE (PA-C) in U.S. healthcare records?
The official identifier for MR. HOWARD V. TYREE (PA-C) is NPI 1053545657.
Would MR. HOWARD V. TYREE (PA-C) appear as active to a payer?
You can treat MR. HOWARD V. TYREE (PA-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MR. HOWARD V. TYREE (PA-C)?
MR. HOWARD V. TYREE (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is MR. HOWARD V. TYREE (PA-C) registered?
Use Traverse City, Michigan as the headline location for MR. HOWARD V. TYREE (PA-C) here.
Can I trust this NPI listing for MR. HOWARD V. TYREE (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

4373 SILVER VALLEY LN
NPI: 1942295274

DANIEL F LADD (P.A.)

Physician Assistant
Elmwood Ave at 6th St, South Elmwood Avenue, Grand Traverse Commons, Kids Creek, Traverse City, Grand Traverse County, Michigan, 49684, United States
NPI: 1689669251
6162, Peninsula Drive, Woodland Terrace, Peninsula Township, Grand Traverse County, Michigan, 49686, United States
NPI: 1780665950
PO BOX 740
NPI: 1154392991

SARAH FLICKINGER (PA-C)

Physician Assistant
4100 Park Forest Dr Ste 208
NPI: 1649248618

NANCY MORRIS (PAC)

Physician Assistant
West Front Street, Traverse City, Grand Traverse County, Michigan, 49684, United States
NPI: 1336117456

MS. DARNELL B GANLEY (P.A.)

Physician Assistant
6819, Elkmont Drive, Fort Caroline, Jacksonville, Duval County, Florida, 32226, United States
NPI: 1881650935

TRAVERSE ANESTHESIA ASSOCIATES, PC

Pain Medicine (Anesthesiology) Physician
Park Forest Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States
NPI: 1013966506