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

Tyler Blake Skelton, RN

Individual provider Registered Nurse · NPI 1770147233

Tyler Blake Skelton, RN is a Certified Registered Nurse Anesthetist (CRNA) in Johnson City, Tennessee. Qualified in 2019, 7 years ago. Practices with Paragon Anesthesia PC, a 215-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone: (423) 283-0776
Fax: (423) 283-0549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APN25873 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 201292 (TN)

Record details

NPI number1770147233
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021
Mailing address1009 Novus Dr Ste 2, Johnson City, TN 37604-8237

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Paragon Anesthesia Pc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City