Tyla Risucci, CAA
NPI 1366297517ActiveIndividual· Anesthesiologist Assistant· Jacksonville, FL
Anesthesiologist Assistant (CAA) in Jacksonville, Florida, licensed in FL, with an NPI issued in April 2024.
Overview
| NPI | 1366297517 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | No |
| NPI issued | Apr 22, 2024 |
| Last updated in NPPES | Sep 24, 2026 |
| Certified by provider | Sep 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | AA954 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Anesthesiologist Assistant providers in Jacksonville
- 1003432451
- 1093053563
- 1093144255
- 1134760580
- 1144506171
- 1154108496
- 1164185195
- 1174271878
- 1194248385
- 1235532730
- 1235867615
- 1255902136
All 106 Anesthesiologist Assistant providers in Jacksonville · All Anesthesiologist Assistant providers in Florida