Tyson Darrell Greener, PA-C
Surgical Physician Assistant · Burley, ID
Tyson Darrell Greener, PA-C is a surgical physician assistant with a practice address in Burley, Idaho, and NPI 1356123863, issued on Oct 18, 2023. Check the license (Idaho 6571244, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Tyson Darrell Greener
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 6571244 ID
Self-reported in NPPES; status is on the state search - Practice location
- 260 E 5TH St N, Burley, ID 83318
- Phone
- (208) 678-9760
- Enumerated
- Oct 18, 2023
- Record last updated
- Feb 7, 2025
- Fax
- (208) 678-9758
- Medicare enrollment
- Enrolled (PECOS I20250311000762); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 260 E 5TH St N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Meg Bollinger, FNP-CFamily Nurse Practitioner1528880606
- Gilbert Crane, M.DOrthopaedic Surgery Physician1679556799
- Derek Harper, DPMFoot & Ankle Surgery Podiatrist1851723332
Verify Tyson Darrell Greener in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 6571244Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
One hospital affiliation
- Minidoka Memorial HospitalBurley, ID · Critical Access Hospitals
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov).
Surgical Physician Assistant providers in Idaho
There are 89 surgical physician assistant records in Idaho.
Other surgical physician assistant records in Idaho
- Marilyn AenchbacherCoeur D Alene, ID1639727787
- Kathleen Anneke, PA-CBoise, ID1083837942
- Jessica Bailey, PAPocatello, ID1588909261
- Addie Barnes, PA-CBoise, ID1447534821
- Dale Belnap, PA-CPocatello, ID1962832923
- Mitchell Blume, PA-C, RD, CDEBoise, ID1710334248
- Alicia Borst, P.A.C.Boise, ID1780641530
- Kami Bowcut, PA-CCoeur D Alene, ID1487168118
- Brittney Brady, PA-CCoeur D Alene, ID1497302780
- Stephanie Breilh, PA-CBoise, ID1730433319
Common questions
What is Tyson Darrell Greener, PA-C's NPI number?
Tyson Darrell Greener, PA-C's National Provider Identifier (NPI) is 1356123863, issued on Oct 18, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Tyson Darrell Greener, PA-C located?
The NPPES record lists a practice address at 260 E 5TH St N, Burley, ID, 83318. Phone: (208) 678-9760. Providers update this record themselves, so call before visiting.
How can I verify Tyson Darrell Greener, PA-C's license?
NPPES lists Idaho license number 6571244, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.