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

Tyler John Halstead, PA-C

Individual provider Physician Assistant · NPI 1730725151

Tyler John Halstead, PA-C is a Physician Assistant in Nitro, West Virginia. Qualified in 2020, 6 years ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4111 1st Ave Ste 3
Nitro, WV 25143-1345
Phone: (304) 755-4797
Fax: (304) 755-4799
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 826 (WV)

Record details

NPI number1730725151
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 20, 2019
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address4111 1st Ave Ste 3, Nitro, WV 25143-1345

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Nitro