MISS ANGHARAD SUPE LYON PA-C
NPI 1164596128
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Q: What is Angharad Lyon's NPI number?

The NPI number for Angharad Lyon is 1164596128. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Angharad Lyon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: Is Angharad Lyon enrolled in Medicare?

No. Angharad Lyon has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Angharad Lyon 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.

Active since November 20, 2006Opted out of Medicare · through Oct 1, 2026

ISU STUDENT HEALTH CTR, 921 S. 8TH ST., POCATELLO, ID 83209(208) 282-2330(208) 282-4036 Get Directions Write a Review

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

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About Miss Angharad Supe Lyon Pa-c NPPES

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

MISS ANGHARAD SUPE LYON PA-C (NPI 1164596128) is an individual student in an organized health care education/training program in Pocatello, Idaho, licensed in Idaho (PA-365) and active in the NPI registry since November 2006. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164596128

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMISS ANGHARAD SUPE LYONCredential: PA-C

Location AddressISU STUDENT HEALTH CTR, 921 S. 8TH ST.Pocatello, ID 83209-0001

Mailing Address69 Foothill BlvdPocatello, ID 83204-4063 · (208) 282-2330 · Fax (208) 282-4036

Phone(208) 282-2330

Fax(208) 282-4036

Sole ProprietorNo

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164596128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in ID · PA-365

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

ISU STUDENT HEALTH CTR, Pocatello, ID 83209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Miss Angharad Supe Lyon Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2016

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Angharad Lyon's NPI number?

The NPI number for Angharad Lyon is 1164596128. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Angharad Lyon located?

Angharad Lyon practices at Isu Student Health Ctr 921 S. 8th St., Pocatello, ID 83209. The listed phone number is (208) 282-2330.

What is Angharad Lyon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Angharad Lyon enrolled in Medicare?

No. Angharad Lyon has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Angharad Lyon accept?

Health plans from PacificSource Health Plans and Select Health list Angharad Lyon 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 Angharad Lyon 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.