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

Individual provider Surgical Physician Assistant · NPI 1902389273

Tyler Knudsen, MMS, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Desert Institute for Spine Care PC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
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

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514
Phone: (602) 944-2900
Fax: (602) 944-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 7312 (AZ)

Record details

NPI number1902389273
Entity typeIndividual (Type 1)
GenderMale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESMay 4, 2022
Certification dateFebruary 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Desert Institute For Spine Care Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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