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

Tyler Douglas Merrill, PA-C

Individual provider Physician Assistant · NPI 1366172603

Tyler Douglas Merrill, PA-C is a Physician Assistant in Richland, Washington. Qualified in 2021, 5 years ago. Practices with Kadlec Regional Medical Center, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
5
Licensed in
UT, WA
In the registry since
2022
Specialties on file
3
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

875 Swift Blvd Ste A
Richland, WA 99352-3513
Phone: (509) 946-1654
Fax: (509) 943-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2825 E Mall Dr, St George, UT 84790-1954 — (435) 628-9393

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61662540 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 12762056-1206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1366172603
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 10, 2022
Last updated in NPPESMay 6, 2025
Certification dateMay 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kadlec Regional Medical Center — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Richland