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

Mr. Ty Joo McComas, FNP-C

Individual provider Family Nurse Practitioner · NPI 1164813184

Mr. Ty Joo McComas, FNP-C is a Nurse Practitioner in Ogden, Utah. Qualified in 2014, 12 years ago. Practices with Midtown Community Health Center Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Hawaii and Utah.

Years since qualifying
12
Licensed in
HI, UT
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2240 Adams Ave
Ogden, UT 84401-1511
Phone: (801) 393-5355
Fax: (801) 934-4609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4917488-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN-1854 (HI)

Record details

NPI number1164813184
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedFebruary 12, 2015
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Midtown Community Health Center Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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