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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457056582

Tyler Weber, PMHNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Mind 247 Practice LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

2373 W Shackleton Dr
Phoenix, AZ 85086-2345
Phone: (623) 695-9641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 289899 (AZ)

Record details

NPI number1457056582
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 28, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mind 247 Practice Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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