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

Mrs. Madelyn Tyack, NP

Individual provider Family Nurse Practitioner · NPI 1629624259

Mrs. Madelyn Tyack, NP is a Nurse Practitioner in Scarborough, Maine. Qualified in 2019, 7 years ago. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019
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

11 Hunnewell Rd
Scarborough, ME 04074-9539
Phone: (207) 289-3600
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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 CNP191162 (ME)

Record details

NPI number1629624259
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESAugust 9, 2019
Mailing address263 Danforth St, Portland, ME 04102-3705

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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