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

Individual provider Physician Assistant · NPI 1730868019

Tyler Shawn Passmore, PA-C is a Physician Assistant in Du Bois, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Dubois Regional Medical Center, a 422-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2023
Specialties on file
2
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

145 Hospital Ave Ste 212
Du Bois, PA 15801-1461
Phone: (814) 375-4045
Fax: (814) 375-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Peach St Ste 400, Erie, PA 16507-1423 — (814) 877-9100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence OA006515 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA064608 (PA)

Record details

NPI number1730868019
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 14, 2023
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

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 Dubois Regional Medical Center — 422 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Du Bois