CAMILLE LYON
NPI 1164084455
Occupational Therapist - Gerontology in Saint Louis, MO
About Camille Lyon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLE LYON (NPI 1164084455) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2019017425) and active in the NPI registry since July 2019.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Camille Lyon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Camille Lyon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Omaha, NE 68152
- Reassigned Medicare billing, Missouri enrollment
- 13 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.
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.
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
SAINT LOUIS, MO 63146
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 Camille Lyon's NPI number?
The NPI number for Camille Lyon is 1164084455. It was assigned to this individual provider in the NPPES registry on July 8, 2019. The provider is also known as Camille Fagan.
Where is Camille Lyon located?
Camille Lyon practices at 11960 Westline Industrial Dr Ste 201, Saint Louis, MO 63146. The listed phone number is (866) 433-9555.
What is Camille Lyon's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Gerontology, with taxonomy code 225XG0600X.
Is Camille Lyon enrolled in Medicare?
Yes. Camille Lyon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Camille Lyon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camille Lyon reassigns Medicare benefits to Choice Rehabilitation LLC (Omaha, NE). 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 Camille Lyon'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 Camille Lyon was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.