Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tyler William Randall

Individual provider Nurse Practitioner · NPI 1780241794

Tyler William Randall is a Nurse Practitioner in Canon City, Colorado. Qualified in 2019, 7 years ago. Practices with Fhpg LLC, a 197-clinician group and accepts Medicare assignment. Licensed in Colorado and Washington.

Years since qualifying
7
Licensed in
CO, WA
In the registry since
2019
Specialties on file
3

Practice location Address checks out

1338 Phay Ave
Canon City, CO 81212-2311
Phone: (719) 285-2000
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN.0994692-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61177225 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61177225 (WA)

Record details

NPI number1780241794
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 24, 2019
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Fhpg Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients63
Services billed 119 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Travel and Lodging $350 5 payments · travel or lodging paid or reimbursed, such as to attend a conference
Food and Beverage $70 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Fhpg LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 197 clinicians in the practice; 12 are shown here.

Other providers in Canon City