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RAVEN DANIELLE LYLES
NPI 1013661230
Nurse Anesthetist, Certified Registered in Charlotte, NC

Active since February 07, 2022Accepts Medicare Assignment
200 HAWTHORNE LN, CHARLOTTE, NC 28204(704) 384-4274 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2026, Feb 7, 2022 (2 updates tracked since 2022).

About Raven Danielle Lyles NPPES

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

RAVEN DANIELLE LYLES (NPI 1013661230) is an individual nurse anesthetist, certified registered in Charlotte, North Carolina, licensed in Virginia (0024186691) and active in the NPI registry since February 2022. She is affiliated with Sentara Rmh Medical Center and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013661230
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameRAVEN DANIELLE LYLES
Location Address200 HAWTHORNE LNCharlotte, NC 28204-2515
Mailing Address355 Old Spanish TrlJackson, MS 39212-3210 · (601) 405-1782
Phone(704) 384-4274
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 7, 2022
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1013661230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in VA · 0024186691✔ Licensed in NC · 6828
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 904663 (MS)
200 HAWTHORNE LN, Charlotte, NC 28204
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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

Raven Danielle Lyles 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 ID4880080597
PECOS Enrollment IDI20231206001227, I20240423000985

Medicare Billing Reassignments

4

Medicare enrollment records show Raven Lyles reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smg Anesthesia Specialists LLC
286 mi
Anesthesiology
2025 GLENN MITCHELL DR
Virginia Beach, VA 23456
  • Reassigned Medicare billing, Virginia enrollment
  • 707 clinicians in this Medicare group
NPI 1518205004 (757) 507-1000
Inova Cares - Community
317 mi
Anesthesiology
3600 JOSEPH SIEWICK DR
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 318 clinicians in this Medicare group
NPI 1861131906 (703) 391-3600
Medstar Medical Group II LLC
329 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Medstar Medical Group Anesthesiology LLC
332 mi
Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1528578333 (Maryland)
  • 482 clinicians in this Medicare group
NPI 1558976175 (703) 558-1403

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 3

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
26 services26 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

WELO SYLVIE OLENGA CRNA
Nurse Anesthetist, Certified Registered
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4239
MRS. ADRIENNE DUNLAP LANE
Nurse Practitioner (Neonatal)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4109
RYAN ALAN WILLIAMSON M.D.
Psychiatry & Neurology (Neurology)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-9437
CHRISSY LATONYA HARRIS AGACNP
Nurse Practitioner (Critical Care Medicine)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4000
JAYME-JO KINNEY
Pharmacist (Pharmacotherapy)
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4840
EDEN TEDLA PA-C
Physician Assistant
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-5416
MATTHEW WYNNE SPANGLER MD
Pediatrics
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4021
CAROLINE BISHOP
Student in an Organized Health Care Education/Training Program
200 HAWTHORNE LN
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-4000

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 Raven Lyles's NPI number?

The NPI number for Raven Lyles is 1013661230. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Raven Lyles located?

Raven Lyles practices at 200 Hawthorne Ln, Charlotte, NC 28204. The listed phone number is (704) 384-4274.

What is Raven Lyles's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Raven Lyles enrolled in Medicare?

Yes. Raven Lyles 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 Raven Lyles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raven Lyles reassigns Medicare benefits to 4 organizations: Smg Anesthesia Specialists LLC (Virginia Beach, VA), Inova Cares - Community (Fairfax, VA), Medstar Medical Group II LLC (Washington, DC) and Medstar Medical Group Anesthesiology LLC (Washington, DC). 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 Raven Lyles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Raven Lyles affiliated with any hospitals?

According to CMS data, Raven Lyles is affiliated with Sentara Rmh Medical Center.

When was this NPI record last updated?

The NPPES record for Raven Lyles was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.