Tyler J. Antenen, P.A.-C
NPI 1104377647ActiveIndividual· Physician Assistant· Kingman, KS
Physician Assistant (P.A.-C) with Ninnescah Valley Health Systems Inc, practicing in Kingman, Kansas. Part D covered 1,111 prescriptions written in 2024, 95% of them generic. Amgen Inc. was the largest of 4 companies reporting payments in 2025, $114.95 in all, mostly food and beverage. Lists Kingman Healthcare Center as a hospital affiliation.
Overview
| NPI | 1104377647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A.-C |
| Sole proprietor | No |
| NPI issued | Oct 19, 2016 |
| Last updated in NPPES | Sep 3, 2025 |
| Certified by provider | Sep 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1501947 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (KS) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 1,111 · 1,767 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $43,973 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Ninnescah Valley Health Systems IncCunningham, KS · 11 clinicians
Hospital affiliation
- Kingman Healthcare CenterKingman, KS
Industry payments (Open Payments)
- 2025$114.95 · 7 payments from 4 companies
- 2024$216.64 · 12 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $44.57 | 3 |
| Novo Nordisk Inc | $36.27 | 2 |
| Edwards Lifesciences Corporation | $18.75 | 1 |
| Medtronic, Inc. | $15.36 | 1 |
What the 2025 payments were for
- Food and Beverage$114.95 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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