TYSON LEE LANGELIERS (PA -C, ATC, LAT) – Physician Assistant, NPI 1861429482

TYSON LEE LANGELIERS (PA -C, ATC, LAT) is a healthcare provider. based in La pine, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA -C, ATC, LAT. They hold a License No. AT-223 (ID). The NPI Number for TYSON LEE LANGELIERS (PA -C, ATC, LAT) is 1861429482

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
TYSON LEE LANGELIERS (PA -C, ATC, LAT)
NPI
1861429482
Phone
(541) 536-3435
Address
PO BOX 3300
Enumeration Date
27 June 2006
Last Update Date
12 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415363435
Graduation Year
2017 (9 years ago)
PAC ID
7517213911
Group Practice PAC ID
8224187018
Professional Enrollment ID
I20180627000786
Address ID
OR977399626LA51600DRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for TYSON LEE LANGELIERS (PA -C, ATC, LAT)

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    LA PINE, OR 977393300

    Phone: (541) 536-3435

    Type: Mailing

  • 51600, Huntington Road, La Pine, Deschutes County, Oregon, 97739, United States

    LA PINE, OR 97739

    Phone: (541) 536-3435

    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: 2018-06-27

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
I20180627000786IPhysician AssistantORTBD

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
83036Hemoglobin a1c level9857$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous4242$0
81002Urinalysis, manual test1111$0
View full utilization report →

Insurance plans in this area (ZIP 97739)

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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: 8224187018View full group profile
NameSpecialtyState
Nurse PractitionerOR
Certified Clinical Nurse Specialist (Cns)OR
Nurse PractitionerTN
Family Practice, Osteopathic Manipulative MedicineOR
Family PracticeWA
Family PracticeAK
Physician AssistantOR
Physician AssistantOR
Mental Health CounselorOR
Clinical PsychologistOR

Reviews

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Frequently asked questions

What NPI should I save for TYSON LEE LANGELIERS (PA -C, ATC, LAT)?
Save NPI 1861429482 if you need a stable reference for TYSON LEE LANGELIERS (PA -C, ATC, LAT).
Is TYSON LEE LANGELIERS (PA -C, ATC, LAT) active in the national directory?
TYSON LEE LANGELIERS (PA -C, ATC, LAT)'s public NPI profile is in an active state.
Does TYSON LEE LANGELIERS (PA -C, ATC, LAT) list a primary specialty?
If you are matching referrals, note Physician Assistant for TYSON LEE LANGELIERS (PA -C, ATC, LAT). Clinical services aligned with this taxonomy classification.
Does TYSON LEE LANGELIERS (PA -C, ATC, LAT) practice in Oregon?
You will see La Pine, Oregon on file for TYSON LEE LANGELIERS (PA -C, ATC, LAT) alongside any extra practice locations.
What if La Pine, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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