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

Tyler John Longstreet

Individual provider Medical Physician Assistant · NPI 1124539044

Tyler John Longstreet is a Physician Assistant in Wilkes Barre, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

25 Church St
Wilkes Barre, PA 18702-3507
Phone: (570) 808-3100
Fax: (570) 808-2539
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 — (570) 808-7300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA059462 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA059462 (PA)

Record details

NPI number1124539044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients98
Services billed 103 a service is one billed item, such as a visit, a test or a procedure
Average patient age68

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Geisinger Clinic

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3413 clinicians in the practice; 12 are shown here.

Other providers in Wilkes Barre