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

Mr. Tyler De Young, PA-C

Individual provider Physician Assistant · NPI 1578148516

Mr. Tyler De Young, PA-C is a Physician Assistant in Fond Du Lac, Wisconsin. Qualified in 2022, 4 years ago. Practices with Ihc Beaver Dam Emergency Physicians, LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 929-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1192101 (WI)

Record details

NPI number1578148516
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 11, 2021
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ihc Beaver Dam Emergency Physicians, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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