RENEE ELISE LYDIARD
NPI 1144987793
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Renee Lydiard's NPI number?

The NPI number for Renee Lydiard is 1144987793. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Q: What is Renee Lydiard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Renee Lydiard was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 18, 2021PECOS EnrolledAccepts Medicare Assignment

4213 E AVALON DR, PHOENIX, AZ 85018(602) 692-7810 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, Nov 18, 2021 (2 updates tracked since 2021).

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About Renee Elise Lydiard NPPES

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

RENEE ELISE LYDIARD (NPI 1144987793) is an individual family provider in Phoenix, Arizona, licensed in Arizona (266838) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144987793

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRENEE ELISE LYDIARD

Location Address4213 E AVALON DRPhoenix, AZ 85018-7207

Mailing Address4213 E Avalon DrPhoenix, AZ 85018-7207 · (602) 692-7810

Phone(602) 692-7810

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 18, 2021

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1144987793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 266838

4213 E AVALON DR, Phoenix, AZ 85018

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renee Elise Lydiard 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 ID4183162167

PECOS Enrollment IDI20240821004058

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 85018 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Renee Lydiard's NPI number?

The NPI number for Renee Lydiard is 1144987793. It was assigned to this individual provider in the NPPES registry on November 18, 2021.

Where is Renee Lydiard located?

Renee Lydiard practices at 4213 E Avalon Dr, Phoenix, AZ 85018. The listed phone number is (602) 692-7810.

What is Renee Lydiard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Renee Lydiard enrolled in Medicare?

Yes. Renee Lydiard 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.

What insurance does Renee Lydiard accept?

Health plans from Blue Cross Blue Shield of Arizona list Renee Lydiard 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.

When was this NPI record last updated?

The NPPES record for Renee Lydiard was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.