Tyler Antenen, P.A.-C
NPI 1104377647 · Physician Assistant · Kingman, KS
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Antenen, P.A.-C is a Physician Assistant provider in Kingman, KS (NPI 1104377647).
Provider details
- NPI number
- 1104377647
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1501947 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
9 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 30 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 97 | 18 |
| Lisinopril | 55 | — |
| Montelukast Sodium | 54 | 12 |
| Pantoprazole Sodium | 52 | 12 |
| Tamsulosin Hcl | 43 | — |
| Amlodipine Besylate | 34 | — |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$217 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 112 N Main StCunningham, KS 67035-8802Phone: (620) 298-2397Fax: (855) 290-4906
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Frequently asked questions
- What is Tyler Antenen's NPI number?
- Tyler Antenen's National Provider Identifier (NPI) is 1104377647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Antenen's specialty?
- Tyler Antenen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tyler Antenen located?
- Tyler Antenen's practice location on file with NPPES is 750 W D Ave, Kingman, KS 67068-1266.
- What is Tyler Antenen's phone number?
- The practice phone number listed in the NPPES registry for Tyler Antenen is (620) 532-0295.
- Does Tyler Antenen accept Medicare?
- Tyler Antenen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Antenen's NPI active?
- Yes — Tyler Antenen's NPI (1104377647) is active in the NPPES registry as of the last update on 2025-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.