Tyson Roberts, PA
Tyson Roberts, PA is a Physician Assistant in Eagle Mountain, Utah. Qualified in 2025, 1 year ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment.
- Years since qualifying
- 1
- In the registry since
- 2025
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
4095 E Pony Express PkwyEagle Mountain, UT 84005-5529
Phone: (801) 429-8037
Fax: (801) 753-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1346137726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 19, 2025 |
| Last updated in NPPES | June 25, 2025 |
| Certification date | June 25, 2025 |
| Mailing address | 1055 N 500 W, Attn: Credentialing, Provo, UT 84604 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Revere Health Pc — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Eagle Mountain
-
Logan Kupitz, PA-C
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5531 · (801) 429-8037
-
Mr. Jay Cannon Lambert, PA
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005-5529 · (801) 429-8037
-
Brian J Pontius, MPASPA-C
4095 E Pony Express Pkwy, Eagle Mountain, UT 84005-5529 · (801) 429-8037
-
MS. Elizabeth A Pritt, PA-C
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005 · (801) 429-8037