Tyler Russell Archer, MSN, NP-C - Medicare Nurse Practitioner in Cleveland, TN

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Tyler Russell Archer, MSN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Cleveland, Tennessee. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Interventional Pain Consultants and his current practice location is 102 Dunhill Pl Nw, Cleveland, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 339-9581.

Tyler Russell Archer is licensed to practice in Tennessee (license number 23287) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548770944.

Contact Information

Tyler Russell Archer, MSN, NP-C
102 Dunhill Pl Nw,
Cleveland, TN 37311
(423) 339-9581
(423) 472-0494

Map and Direction




Provider's Profile

Full NameTyler Russell Archer
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location102 Dunhill Pl Nw, Cleveland, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler Russell Archer graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1548770944
  • Provider Enumeration Date: 10/11/2017
  • Last Update Date: 05/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5597025940
  • Enrollment ID: I20180205001421

Medical Identifiers

Medical identifiers for Tyler Russell Archer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548770944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 23287 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Interventional Pain Consultants741632351410

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler Russell Archer allows following entities to bill medicare on his behalf.
Entity NameElite Pain Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497267173
PECOS PAC ID: 4587924014
Enrollment ID: O20180201001226
Entity NameInterventional Pain Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174241145
PECOS PAC ID: 7416323514
Enrollment ID: O20221014000349

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Russell Archer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tyler Russell Archer, MSN, NP-C
102 Dunhill Pl Nw,
Cleveland, TN 37311-3885

Ph: (423) 476-5774		Tyler Russell Archer, MSN, NP-C
102 Dunhill Pl Nw,
Cleveland, TN 37311

Ph: (423) 339-9581

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.