TYLER NATHAN MEMMOTT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760059612

TYLER NATHAN MEMMOTT (CRNA) is a healthcare provider. based in Columbus, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 101640 (NE). The NPI Number for TYLER NATHAN MEMMOTT (CRNA) is 1760059612

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TYLER NATHAN MEMMOTT (CRNA)
NPI
1760059612
Phone
(402) 564-7118
Address
4600 38th St
Enumeration Date
9 June 2021
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356233000
Graduation Year
2021 (5 years ago)
PAC ID
4789085093
Group Practice PAC ID
1850779729
Professional Enrollment ID
I20230330001317
Address ID
UT846485516NE1766X800X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

Provider Addresses for TYLER NATHAN MEMMOTT (CRNA)

  • 4600 38th St

    Columbus, NE 686011664

    Phone: (402) 564-7118

    Type: Location

  • 5324 42ND STREET

    COLUMBUS, NE 68601

    Phone: (435) 660-0451

    Type: Mailing

  • 1766 W 800 S

    NEPHI, UT 846485516

    Phone: (435) 623-3000

    Type: Location

  • 4600 38TH ST

    COLUMBUS, NE 686011664

    Phone: (402) 564-7118

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-09-23 • Largest payer in this snapshot: Boston Scientific Corporation ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-03-30

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
I20230330001317ICertified Registered Nurse Anesthetist (Crna)UTTBD

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
01402Anesthesia for procedure for total knee joint replacement1313$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1212$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1212$0
76942Ultrasonic guidance for needle placement1111$0
View full utilization report →

Insurance plans in this area (ZIP 68601)

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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: 1850779729View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)UT
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)UT

Reviews

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Frequently asked questions

How is TYLER NATHAN MEMMOTT (CRNA) identified in CMS data?
CMS-hosted NPPES data lists TYLER NATHAN MEMMOTT (CRNA) with NPI 1760059612.
Can I rely on TYLER NATHAN MEMMOTT (CRNA) being an active provider?
As of the registry snapshot, TYLER NATHAN MEMMOTT (CRNA) is marked active.
What is TYLER NATHAN MEMMOTT (CRNA) best known for clinically?
Directory data describes TYLER NATHAN MEMMOTT (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is TYLER NATHAN MEMMOTT (CRNA) based?
TYLER NATHAN MEMMOTT (CRNA) is tied to Columbus, Nebraska in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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