MR. TYLER MATTHEW RODRIGUEZ LICHTENBERG (NP) – Family Nurse Practitioner, NPI 1780357228
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for MR. TYLER MATTHEW RODRIGUEZ LICHTENBERG (NP)
7048 Mechanicsville Tpke
Mechanicsville, VA 231117101
Phone: (866) 389-2727
Type: Location
13800 Hull Street Rd
Midlothian, VA 231122002
Phone: (866) 389-2727
Type: Location
8954 LANTANA RD
LAKE WORTH, FL 334676112
Phone: (561) 434-4776
Fax: (561) 434-5055
Type: Mailing
6600 MAIN ST APT 1531
MIAMI LAKES, FL 330142294
Phone: (571) 748-8402
Type: Mailing
5219 LANKFORD HWY
NEW CHURCH, VA 234153332
Phone: (757) 824-5676
Type: Location
13180 MIDLOTHIAN TPKE
MIDLOTHIAN, VA 231134245
Phone: (866) 389-2727
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Novo Nordisk Inc ($18).
Total Amount
$33
General + Research + Ownership
Payments
2
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $18 |
| Lilly USA, LLC | $15 |
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: 2024-12-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241217003837 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 48 | 36 | $0 |
| 83036 | Hemoglobin a1c level | 34 | 32 | $0 |
Insurance plans in this area (ZIP 23111)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Surgery, Thoracic Surgery | IN | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Advanced Heart Failure And Transplant Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology) | FL | |
| Orthopedic Surgery | FL | |
| Anesthesiology, Pediatric Medicine | FL | |
| Gastroenterology, Internal Medicine | FL | |
| A N E S T H E S I O L O G Y | AL | |
| Nurse Practitioner | FL |
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