Tylie Danielle Roman, CNP - Medicare Nurse Practitioner in Eagle, ID

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Tylie Danielle Roman, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Eagle, Idaho. Her current practice location is 323 E Riverside Dr Ste 224, Eagle, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 302-6000.

Tylie Danielle Roman is licensed to practice in Idaho (license number 60660) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740981943.

Contact Information

Tylie Danielle Roman, CNP
323 E Riverside Dr Ste 224,
Eagle, ID 83616-6865
(208) 302-6000
(208) 302-6055

Map and Direction




Provider's Profile

Full NameTylie Danielle Roman
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location323 E Riverside Dr Ste 224, Eagle, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740981943
  • Provider Enumeration Date: 03/14/2023
  • Last Update Date: 04/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092171231
  • Enrollment ID: I20230515001240

Medical Identifiers

Medical identifiers for Tylie Danielle Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740981943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 60660 (Idaho)Secondary
363LA2100XNurse Practitioner - Acute Care 60660 (Idaho)Secondary
363LG0600XNurse Practitioner - Gerontology 60660 (Idaho)Primary

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. Tylie Danielle Roman allows following entities to bill medicare on her behalf.
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036

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. Tylie Danielle Roman 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
Tylie Danielle Roman, CNP
3340 E Goldstone Dr,
Meridian, ID 83642-1026

Ph: (208) 367-5170		Tylie Danielle Roman, CNP
323 E Riverside Dr Ste 224,
Eagle, ID 83616-6865

Ph: (208) 302-6000

Reviews and Comments


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Evita Kvista,
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Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616
Phone: 208-412-9622    
Ms. Beth Elaine Landis, NP
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Phone: 208-939-6030    
Bethany Joy Mello, NP-C
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Practice Location: 951 E Plaza Dr Ste 170, Eagle, ID 83616
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Christopher Alan Anthony Nicholas,
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Practice Location: 3101 E State St, Eagle, ID 83616
Phone: 208-473-3100    
Jessica Watson, NP
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Phone: 208-519-8520    
Claudia Parcells, NP
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Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616
Phone: 208-939-3505    Fax: 208-939-3507
Allison Roper Serr, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1079 S Ancona Ave Ste 100, Eagle, ID 83616
Phone: 208-853-2273    

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.