NICOLE LYONS
NPI 1013336106
Surgery in Saint Paul, MN

Active since April 16, 2014PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-5151(651) 254-3123 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Mar 23, 2016 (2 updates tracked since 2016).

About Nicole Lyons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LYONS (NPI 1013336106) is an individual surgery provider in Saint Paul, Minnesota, licensed in Minnesota (62252) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1013336106
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameNICOLE LYONS
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516 · (651) 254-5151 · Fax (651) 254-3123
Fax(651) 254-3123
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2014
Enumeration DateApril 16, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1013336106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MN · 62252
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License 62252 (MN)
640 JACKSON ST, Saint Paul, MN 55101

Secondary Practice Location 1

Location 1701 Park Avenue,, Mail Code P-5Minneapolis, MN 55415 · Phone (612) 873-2849

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Lyons is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143525303
PECOS Enrollment IDI20190731001185
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Nicole Lyons reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
Psychiatric Unit
1013 HART BLVD
Monticello, MN 55362
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1558600874 (Minnesota)
  • 287 clinicians in this Medicare group
Substance Abuse Rehabilitation Facility
1485 10TH AVE NE
Sauk Rapids, MN 56379
  • Reassigned Medicare billing, Minnesota enrollment
  • 415 clinicians in this Medicare group
Clinic/Center
405 MEEKER AVE E
Eden Valley, MN 55329
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1205269941 (Minnesota)
  • 124 clinicians in this Medicare group
Family Medicine
200 1ST AVE SE
Pierz, MN 56364
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1326234006 (Minnesota)
  • 205 clinicians in this Medicare group
Critical Access
525 W. MAIN STREET
Melrose, MN 56352
  • Reassigned Medicare billing, Minnesota enrollment
  • 180 clinicians in this Medicare group
Rural Health
425 ELM ST N
Sauk Centre, MN 56378
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1740553932 (Minnesota)
  • 173 clinicians in this Medicare group
Critical Access
50 CENTRACARE DR
Long Prairie, MN 56347
  • Reassigned Medicare billing, Minnesota enrollment
  • 156 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services26 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Centracare Health - Monticello

Critical Access Hospitals · Monticello, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241362
Location1013 Hart BoulevardMonticello, MN 55362 · Wright County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lyons's NPI number?

The NPI number for Nicole Lyons is 1013336106. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Nicole Lyons located?

Nicole Lyons practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-5151.

What is Nicole Lyons's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicole Lyons enrolled in Medicare?

Yes. Nicole Lyons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lyons reassigns Medicare benefits to 8 organizations: Centracare Clinic (Big Lake, MN), Centracare Health System-Nr LLC (Monticello, MN), St. Cloud Hospital (Sauk Rapids, MN), Centracare Health-Paynesville LLC (Eden Valley, MN), Unity Family Healthcare (Pierz, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Lyons accept?

Health plans from HealthPartners and Sanford Health Plan list Nicole Lyons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Lyons affiliated with any hospitals?

According to CMS data, Nicole Lyons is affiliated with St Cloud Hospital and Centracare Health - Monticello.

When was this NPI record last updated?

The NPPES record for Nicole Lyons was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.