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MRS. LYDIA KARLYN MARSHAM PA - C
NPI 1053655878
Physician Assistant - Medical in Lake Mary, FL

Active since November 16, 2012PECOS Enrolled
1349 S INTERNATIONAL PKWY STE 1411, LAKE MARY, FL 32746(407) 333-3360(855) 699-6808 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2020, Sep 2, 2020 (2 updates tracked since 2020).

About Mrs. Lydia Karlyn Marsham Pa - C NPPES

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

MRS. LYDIA KARLYN MARSHAM PA - C (NPI 1053655878) is an individual medical provider in Lake Mary, Florida, licensed in Florida (PA9103622) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Altamonte Springs.

NPPES Registry Identity

NPI1053655878
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LYDIA KARLYN MARSHAMCredential: PA - C
Location Address1349 S INTERNATIONAL PKWY STE 1411Lake Mary, FL 32746-1698
Mailing Address1349 S International Pkwy Ste 1411Lake Mary, FL 32746-1698 · (407) 333-3360 · Fax (855) 699-6808
Phone(407) 333-3360
Fax(855) 699-6808
Sole ProprietorYes
Enumeration DateNovember 16, 2012
Last NPPES UpdateMay 24, 20242 updates tracked since enumeration
NPPES CertifiedMay 24, 2024
✔ NPI 1053655878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9103622
1349 S INTERNATIONAL PKWY STE 1411, Lake Mary, FL 32746
Open in Google Maps ↗

Secondary Practice Location 1

Location 1460 E Altamonte Dr Ste 2200Altamonte Springs, FL 32701-4653 · Phone (407) 767-0009 · Fax (407) 767-0022

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lydia Karlyn Marsham Pa - C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%112 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

AYESHA AHMAR MD AND ASSOCIATES
Family Medicine
1349 S INTERNATIONAL PKWY STE 1411
LAKE MARY, FL 32746
Seminole County (407) 333-3360

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 Lydia Marsham's NPI number?

The NPI number for Lydia Marsham is 1053655878. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Where is Lydia Marsham located?

Lydia Marsham practices at 1349 S International Pkwy Ste 1411, Lake Mary, FL 32746. The listed phone number is (407) 333-3360.

What is Lydia Marsham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lydia Marsham enrolled in Medicare?

Yes. Lydia Marsham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lydia Marsham was last updated on May 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.