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

Tyler Allen Rex

Individual provider Certified Registered Nurse Anesthetist · NPI 1710741871

Tyler Allen Rex is a Certified Registered Nurse Anesthetist (CRNA) in South Bend, Indiana. Qualified in 2024, 2 years ago. Practices with Southeast Anesthesiologists, Inc, a 92-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

615 N Michigan St
South Bend, IN 46601-1033
Phone: (754) 647-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28216557C (IN)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 28216557C (IN)

Record details

NPI number1710741871
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address17875 Bellows Falls Dr N, South Bend, IN 46614-9721

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southeast Anesthesiologists, Inc. — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Bend