TANYA L FLYNN (PA) – Surgical Physician Assistant, NPI 1225380728

TANYA L FLYNN (PA) is a healthcare provider. based in San angelo, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA142012 (TX). The NPI Number for TANYA L FLYNN (PA) is 1225380728

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TANYA L FLYNN (PA)
NPI
1225380728
Phone
(325) 747-2344
Address
102 N MAGDALEN ST
Enumeration Date
8 October 2012
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3257471511
Graduation Year
2012 (14 years ago)
PAC ID
4789836719
Group Practice PAC ID
0840103727
Professional Enrollment ID
I20121220000137
Address ID
TX769035919SA120XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for TANYA L FLYNN (PA)

  • 102 N MAGDALEN ST

    SAN ANGELO, TX 769035400

    Phone: (325) 747-2344

    Fax: (325) 747-2109

    Type: Location

  • PO BOX 22000

    SAN ANGELO, TX 769027200

    Phone: (325) 747-1511

    Fax: (325) 747-2165

    Type: Mailing

  • 215 E. COLLEGE

    SAN ANGELO, TX 76903

    Phone: (325) 481-2340

    Fax: (325) 481-2348

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,759.

Total Amount is formed as General ($1,759) + Research ($0) + Ownership ($0) = $1,759.

Last reported payment date: 2024-04-27 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,759).

Total Amount

$1,759

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,759

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$1,759
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: 2012-12-20

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
I20121220000137IPhysician AssistantTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes7256$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5031$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4646$0
47562Removal of gallbladder using an endoscope1919$0
36415Insertion of needle into vein for collection of blood sample1211$0
View full utilization report →

Insurance plans in this area (ZIP 76903)

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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: 0840103727View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
-TX
-OR
-TX
G A S T R O E N T E R O L O G YTX
A N E S T H E S I O L O G YTX
-TX
-TX
O P H T H A L M O L O G YTX

Reviews

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Frequently asked questions

How is TANYA L FLYNN (PA) identified in CMS data?
CMS-hosted NPPES data lists TANYA L FLYNN (PA) with NPI 1225380728.
Is TANYA L FLYNN (PA) listed as active for patients and plans?
The listing shows TANYA L FLYNN (PA) as active in the NPI system.
What is TANYA L FLYNN (PA)'s primary classification?
Surgical Physician Assistant is the headline specialty for TANYA L FLYNN (PA) here. Clinical services aligned with this taxonomy classification.
What area does TANYA L FLYNN (PA) serve?
TANYA L FLYNN (PA)'s listing highlights San Angelo, Texas; more addresses can appear in NPPES.
Is the information about TANYA L FLYNN (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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