MARYELLEN LYMAN CRNA
NPI 1053351767
Nurse Anesthetist, Certified Registered in Hartford, CT
About Maryellen Lyman Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYELLEN LYMAN CRNA (NPI 1053351767) is an individual nurse anesthetist, certified registered in Hartford, Connecticut, licensed in Connecticut (000117) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1975).
NPPES Registry Identity
Specialties & Licenses
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
Maryellen Lyman Crna 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.
Medicare Billing Reassignment
Medicare enrollment records show Maryellen Lyman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartford, CT 06105
- Reassigned Medicare billing, Connecticut enrollment
- 302 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HARTFORD, CT 06105
HARTFORD, CT 06105
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 Maryellen Lyman's NPI number?
The NPI number for Maryellen Lyman is 1053351767. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Maryellen Lyman located?
Maryellen Lyman practices at 114 Woodland St, Hartford, CT 06105. The listed phone number is (860) 714-6654.
What is Maryellen Lyman's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Maryellen Lyman enrolled in Medicare?
Yes. Maryellen Lyman 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 organization bills Medicare for Maryellen Lyman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryellen Lyman reassigns Medicare benefits to Woodland Anesthesia Associates PC (Hartford, CT). The 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 Maryellen Lyman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maryellen Lyman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Maryellen Lyman, CRNA · NPI 1053351767
Nurse Anesthetist, Certified Registered physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1053351767 (Entity type: Individual)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 000117 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 114 WOODLAND ST, Hartford, CT 06105-1208
- **Phone:** (860) 714-6654 · **Fax:** (860) 714-8110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Woodland Anesthesia Associates PC (NPI 1437109824, Hartford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1975
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053351767) · Data from the CMS NPPES public registry.