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

Tyler Harrelson, PA-C

Individual provider Physician Assistant · NPI 1417708223

Tyler Harrelson, PA-C is a Physician Assistant in Saint Charles, Missouri. Qualified in 2023, 3 years ago. Practices with American Multispecialty Group Inc, a 118-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
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

711 Veterans Memorial Pkwy Ste 300
Saint Charles, MO 63303-2106
Phone: (636) 669-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 416 Old Smizer Mill Rd, Fenton, MO 63026-3553 — (314) 467-1590

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024002456 (MO)

Record details

NPI number1417708223
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice American Multispecialty Group Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Saint Charles