Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tyler Fancher, PA-C

Individual provider Physician Assistant · NPI 1346908191

Tyler Fancher, PA-C is a Physician Assistant in Overland Park, Kansas. Qualified in 2022, 4 years ago. Practices with Menorah Medical Group LLC, a 21-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
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

5701 W 119th St Ste 410
Overland Park, KS 66209-3721
Phone: (913) 345-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 238 Macallan Ln Unit 11, Triadelphia, WV 26059-2478 — (417) 540-2423

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1346908191
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 29, 2021
Last updated in NPPESAugust 14, 2022
Certification dateAugust 14, 2022

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 Menorah Medical Group Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Overland Park