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

Individual provider Certified Registered Nurse Anesthetist · NPI 1619602372

Tyson Frodsham is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2022, 4 years ago. Practices with Northstar Anesthesia III PA, a 399-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 531-8890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1025381 (TX)

Record details

NPI number1619602372
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 18, 2022
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northstar Anesthesia Iii Pa — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Tyler