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Tyler John Van Sistine

Specialist/Technologist - Athletic Trainer β€’ Appleton, WI

Active NPI 1114395712 Individual Practitioner Male Practitioner
Practice location in NPPES

4001 Towne Lakes Cir Apt 5215
Appleton, WI 549138752

Call 9206098192 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4001 Towne Lakes Cir Apt 5215

Appleton, WI 549138752

Telephone 9206098192

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Appleton and Wisconsin

44 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Appleton, WI (1,231 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 44 clinicians have the CMS telehealth indicator.

0% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-01-20
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 20, 2023

Registered at 4001 TOWNE LAKES CIR APT 5215, APPLETON, WI 549138752 (Tel: 9206098192)

πŸ“
Updated Business Mailing Address January 20, 2023

Registered at 4001 TOWNE LAKES CIR APT 5215, APPLETON, WI 549138752 (Tel: 9206098192)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2023

Student in an Organized Health Care Education/Training Program

βœ…
NPI Profile Active September 13, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 13, 2015

Registered at 1598 TIFFANY CT, DE PERE, WI 541159042 (Tel: 9206098192)

πŸ“
Business Mailing Address (Initial Record) September 13, 2015

Registered at 1598 TIFFANY CT, DE PERE, WI 541159042 (Tel: 9206098192)

πŸ‘€
Provider Name / Credentials (Initial Record) September 13, 2015

Recorded as TYLER VAN SISTINE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2015

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration September 13, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114395712
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2015
Last Update: January 20, 2023
Sole Proprietor: No

Mailing Address

4001 Towne Lakes Cir Apt 5215

Appleton, WI 549138752

Phone: 9206098192

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.