Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Tyler McInnis, NP

Individual provider Gerontology Nurse Practitioner · NPI 1568132629

John Tyler McInnis, NP is a Nurse Practitioner in Texarkana, Texas. Qualified in 2020, 6 years ago. Practices with Appello Health and Wellness Clinic LLC, a 75-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
6
Licensed in
AR, TX
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

600 W 52nd St
Texarkana, TX 75503-2980
Phone: (903) 792-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP1023722 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP214920 (AR)

Record details

NPI number1568132629
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Appello Health And Wellness Clinic Llc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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