BRITTNEY TYSON (PA-C) – Physician Assistant, NPI 1114770831

BRITTNEY TYSON (PA-C) is a healthcare provider. based in Wooster, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for BRITTNEY TYSON (PA-C) is 1114770831

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
BRITTNEY TYSON (PA-C)
NPI
1114770831
Phone
(330) 804-9712
Address
3373 COMMERCE PKWY STE 2
Enumeration Date
10 April 2024
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3308049712
Graduation Year
2024 (2 years ago)
PAC ID
8820520737
Group Practice PAC ID
9032297627
Professional Enrollment ID
I20241016004862
Address ID
OH446917130WO3373XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for BRITTNEY TYSON (PA-C)

  • 3373 COMMERCE PKWY STE 2

    WOOSTER, OH 446917130

    Phone: (330) 804-9712

    Fax: (330) 804-9811

    Type: Location

  • 6704 STATE ROUTE 754

    MILLERSBURG, OH 446549718

    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: 2024-10-16

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
I20241016004862IPhysician AssistantOHTBD

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 44691)

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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: 9032297627View full group profile
NameSpecialtyState
General SurgeryOH
Internal MedicineOH
Orthopedic SurgeryOH
Cardiovascular Disease (Cardiology)OH
Physician AssistantOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Pulmonary Disease, Critical Care (Intensivists)OH
Physician AssistantOH
Nurse PractitionerOH
General SurgeryOH

Reviews

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Frequently asked questions

What is the registry number for BRITTNEY TYSON (PA-C)?
The registry entry for BRITTNEY TYSON (PA-C) shows NPI 1114770831.
Does the public listing show BRITTNEY TYSON (PA-C) as active?
BRITTNEY TYSON (PA-C)'s NPI record reflects an active status in NPPES.
What services align with BRITTNEY TYSON (PA-C)'s listing?
BRITTNEY TYSON (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BRITTNEY TYSON (PA-C) tied to Wooster, Ohio?
If you are local to Wooster, Ohio, BRITTNEY TYSON (PA-C) may be relevant to your search.
Can I export BRITTNEY TYSON (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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