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NICOLAS LYDE PA
NPI 1104986355
Physician Assistant in South Pasadena, FL

Active since December 11, 2006PECOS Enrolled
1501 PASADENA AVE S, SOUTH PASADENA, FL 33707(727) 341-7777 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicolas Lyde Pa NPPES

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

NICOLAS LYDE PA (NPI 1104986355) is an individual physician assistant in South Pasadena, Florida, licensed in Florida (PA3024) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104986355
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICOLAS LYDECredential: PA
Location Address1501 PASADENA AVE SSouth Pasadena, FL 33707-3717
Mailing Address861 Sw 78th Ave, Suite # 100bPlantation, FL 33324-3273
Phone(727) 341-7777
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104986355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA3024
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1501 PASADENA AVE S, South Pasadena, FL 33707
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Other Identifiers 1

Medicare UPINS68171

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas Lyde Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33707 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

DR. THOMAS F CONROY M.D.
Anesthesiology
1501 PASADENA AVE S, PALMS OF PASADENA HOSPITAL
SOUTH PASADENA, FL 33707
Pinellas County (727) 938-8806
DR. JAMES G. ARTERBURN M. D.
Radiology (Diagnostic Radiology)
1501 PASADENA AVE S
SOUTH PASADENA, FL 33707
Pinellas County (727) 381-1000
DR. RAMSES S NASHED M.D.
Anesthesiology
1501 PASADENA AVE S
SOUTH PASADENA, FL 33707
Pinellas County (727) 938-8806
DARREN W. LEVERENZ M.D.
Anesthesiology
1501 PASADENA AVE S
SOUTH PASADENA, FL 33707
Pinellas County (727) 381-1000
RADIOLOGY SERVICES OF JUPITER MEDICAL SPECIALISTS LLC
Radiology (Diagnostic Radiology)
1501 PASADENA AVE S
SOUTH PASADENA, FL 33707
Pinellas County (727) 381-1000
KATELYN MULLANEY CRNA
Nurse Anesthetist, Certified Registered
1501 PASADENA AVE S
SOUTH PASADENA, FL 33707
Pinellas County (727) 381-1000
DR. JENNIFER ANN VILLARINO PHARM.D.
Pharmacist
1501 PASADENA AVE S
SOUTH PASADENA, FL 33707
Pinellas County (727) 381-1000
SHERIDAN RADIOLOGY SERVICES OF PINELLAS, INC.
Radiology (Diagnostic Radiology)
1501 PASADENA AVE S
SOUTH PASADENA, FL 33707
Pinellas County (773) 281-1198

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 Nicolas Lyde's NPI number?

The NPI number for Nicolas Lyde is 1104986355. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Nicolas Lyde located?

Nicolas Lyde practices at 1501 Pasadena Ave S, South Pasadena, FL 33707. The listed phone number is (727) 341-7777.

What is Nicolas Lyde's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicolas Lyde enrolled in Medicare?

Yes. Nicolas Lyde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicolas Lyde was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.