Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124448964 Individual Practitioner Male Practitioner

Tyler O Stutzman , PA-C

Physician Assistant • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tyler Stutzman, PA-C is a certified Physician Assistant practicing in Salem, OR. With approximately 11 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2015, Tyler Stutzman delivers high-quality medical care to the local community at 890 OAK ST SE BLDG A.

Tyler Stutzman accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

890 Oak St Se Bldg A

Salem, OR 973013905

Telephone 5038141280
Fax 5038141070
Associated Practice Facility / Clinic
🏢 17th Medgrp-Goodfellow Facility NPI 1104805142

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Salem, OR

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +2.0 yrs vs City Avg
City Avg: 9.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
128 Specialists

Practicing in Salem, OR (2106 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stutzman (11 Years) 11 Yrs
Salem Specialty Average (9.0 Years) 9.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110005595

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OR PA225085

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

271 Fort Richardson Ave

Goodfellow Afb, TX 769084901

Phone: 3256543677

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Christopher Simpson , PA

Physician Assistant

NPI 1003178336

Physician Assistant

NPI 1003267782

Doctor of Medicine (M.D.)

Dr. Michael Oh , MD

Emergency Medicine

NPI 1104177120

Doctor of Medicine (M.D.)

Dr. Timothy Duenas , MD

Emergency Medicine

NPI 1154525970

Doctor of Medicine (M.D.)

Dr. Stefani Sorensen , DO

Emergency Medicine

NPI 1245769835

Doctor of Osteopathic Medicine (D.O.)

Ellie Morrow

Physician Assistant

NPI 1255151312

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 15, 2025

Registered at 890 OAK ST SE BLDG A, SALEM, OR 973013905 (Tel: 5038141280)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2025

Physician Assistant (License #PA225085 in OR)

📍
Updated Practice Location August 12, 2024

Registered at 271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 769084901 (Tel: 3256543677)

📍
Updated Business Mailing Address August 12, 2024

Registered at 271 FORT RICHARDSON AVE, GOODFELLOW AFB, TX 769084901 (Tel: 3256543677)

📍
Updated Business Mailing Address June 17, 2021

Registered at 48TH MEDICAL GROUP RAF LAKENHEATH, UNIT 5115, APO, AE 094615115

📍
Updated Practice Location March 20, 2018

Registered at 6311 RICHMOND HWY, ALEXANDRIA, VA 223066410 (Tel: 7036476087)

📍
Updated Business Mailing Address March 20, 2018

Registered at 5000 COX RD, GLEN ALLEN, VA 230609263 (Tel: 8049685700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2018

Physician Assistant (License #0110005595 in VA)

NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2015

Registered at 238 BROOKLEY AVE SW, BOLLING AFB, DC 200327704 (Tel: 2024045512)

📍
Updated Business Mailing Address July 16, 2015

Registered at 238 BROOKLEY AVE SW, BOLLING AFB, DC 200327704 (Tel: 2024045512)

👤
Provider Name / Credentials Updated July 16, 2015

Recorded as TYLER STUTZMAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 20, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124448964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2014
Last Update: June 15, 2025
Sole Proprietor: No

Mailing Address

271 Fort Richardson Ave

Goodfellow Afb, TX 769084901

Phone: 3256543677

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.