TYLER STANFIELD (PA) – Physician Assistant, NPI 1780243915

TYLER STANFIELD (PA) is a healthcare provider. based in Selmer, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 3911 (TN). The NPI Number for TYLER STANFIELD (PA) is 1780243915

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
TYLER STANFIELD (PA)
NPI
1780243915
Phone
(731) 925-2300
Address
181 S Y SQ
Enumeration Date
11 June 2019
Last Update Date
27 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7319252300
Graduation Year
2019 (7 years ago)
PAC ID
0941539696
Group Practice PAC ID
3779490776
Professional Enrollment ID
I20190905003659
Address ID
TN383725219SA765XXRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,134 PHYSICIAN ASSISTANT in TN

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Provider Addresses for TYLER STANFIELD (PA)

  • 181, South Y Square, Selmer, McNairy County, Tennessee, 38375, United States

    SELMER, TN 383751739

    Phone: (731) 925-2300

    Type: Location

  • PO BOX 655

    SAVANNAH, TN 383720655

    Phone: (731) 925-2300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: ABBVIE INC. ($158).

Total Amount

$373

General + Research + Ownership

Payments

18

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

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: 2019-09-05

PECOS data refreshed: 2026-06-15

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
I20190905003659IPhysician AssistantTNTBD

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
81002Urinalysis, manual test1512$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1412$0
View full utilization report →

Insurance plans in this area (ZIP 38375)

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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: 3779490776View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN
Family PracticeAL
Clinical Social WorkerMS
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Emergency MedicineTN
Nurse PractitionerTN
Mental Health CounselorTN

Reviews

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Frequently asked questions

Does TYLER STANFIELD (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TYLER STANFIELD (PA) uses 1780243915.
Does the file indicate TYLER STANFIELD (PA) is practicing under active NPI?
Directory data currently reports TYLER STANFIELD (PA) as active.
What is TYLER STANFIELD (PA) best known for clinically?
Directory data describes TYLER STANFIELD (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for TYLER STANFIELD (PA)?
TYLER STANFIELD (PA)'s geographic hint is Selmer, Tennessee in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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