TYLER JAMES AMOS — NPI 1124379730 (Licensed & Credentialed Adult Companion in MARYSVILLE, CA)

CMS-1500 Box 24J / 33a • NPI

1124379730

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

372600000X

Licensed & Credentialed Adult Companion

Box 32 Service Location & ZIP+4

201 D ST STE R, MARYSVILLE, CA, 95901-5952

✓ 9-Digit EDI 837 ZIP+4 (95901-5952)

Practice Phone & Referral Fax

(530) 702-0087

Fax: (530) 232-3324

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124379730 (TYLER JAMES AMOS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1124379730` (NPI-1 Individual Practitioner)
Provider / Legal Name	TYLER JAMES AMOS
Plain-English Specialty	Licensed & Credentialed Adult Companion NUCC Code: `372600000X` (Adult Companion)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	201 D ST STE R, MARYSVILLE, CA, 95901-5952
Practice Telephone / Fax	Tel: (530) 702-0087 \| Fax: (530) 232-3324
Administrative Mailing Address	201 D ST STE R, MARYSVILLE, CA, 95901-5952
Enumeration & Last Sync	Enumerated: 2012-09-21 \| CMS Record Updated: 2025-05-13

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

201 D ST STE R, MARYSVILLE, CA, 95901-5952

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Plain-English Taxonomy & CMS Crosswalk (372600000X)

What Does Taxonomy Code 372600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 372600000X translates to:
"Licensed & Credentialed Adult Companion"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Adult Companion for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TYLER JAMES AMOS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: CA \| License: `Verified` \| Primary: Secondary
`322D00000X` — Residential Treatment Facility, Emotionally Disturbed Children Plain English: Licensed & Credentialed Residential Treatment Facility, Emotionally Disturbed Children	State: N/A \| License: `Verified` \| Primary: Secondary
`372600000X` — Adult Companion Plain English: Licensed & Credentialed Adult Companion	State: CA \| License: `Verified` \| Primary: Yes (Primary)
`172V00000X` — Community Health Worker Plain English: Licensed & Credentialed Community Health Worker	State: CA \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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TYLER JAMES AMOS (NPI #1124379730)