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

Tyler Michael Fenton

Individual provider Family Nurse Practitioner · NPI 1316731458

Tyler Michael Fenton is a Nurse Practitioner in Painesville, Ohio. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic of Ohio LLC, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2025

Practice location Address checks out

1506 Mentor Ave
Painesville, OH 44077-1705
Phone: (440) 354-5609
Show map & directions

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

Additional practice locations (1)

  • 9110 Mentor Ave Unit 9b, Mentor, OH 44060-6404 — (440) 701-8030

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0038773 (OH)

Record details

NPI number1316731458
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2025
Last updated in NPPESMay 6, 2025
Certification dateApril 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minuteclinic Diagnostic Of Ohio Llc — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Painesville