1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Nurse Practitioner
  6. NPI Profile

MIDZY B LYSIUS NP
NPI 1174995658
Nurse Practitioner in Syracuse, NY

Active since October 23, 2015PECOS Enrolled
725 EAST ADAMS STREET, SYRACUSE, NY 13210(315) 464-4842(315) 464-8912 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2025, Aug 14, 2021, Nov 16, 2018 (3 updates tracked since 2018).

About Midzy B Lysius Np NPPES

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

MIDZY B LYSIUS NP (NPI 1174995658) is an individual nurse practitioner in Syracuse, New York, licensed in New York (343225) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1174995658
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIDZY B LYSIUSCredential: NP
Location Address725 EAST ADAMS STREETSyracuse, NY 13210
Mailing Address251 Salina Meadows Parkway, Suite 100Syracuse, NY 13212 · (315) 464-2000 · Fax (315) 464-2010
Phone(315) 464-4842
Fax(315) 464-8912
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 23, 2015
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1174995658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 343225
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 685753-1 (NY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 343225 (NY)
725 EAST ADAMS STREET, Syracuse, NY 13210
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midzy B Lysius Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698025583
PECOS Enrollment IDI20180914000921
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 Billing Reassignments

2

Medicare enrollment records show Midzy Lysius reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Suny Health Science Center At Syracuse
Same address
General Acute Care Hospital
750 EAST ADAMS STREET
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
NPI 1184974529 (315) 464-6530
Kudos Medical PLLC
14 mi
Internal Medicine
304 GENESEE ST
Chittenango, NY 13037
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1801303532 (315) 687-6467

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 7

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

MRS. KAREN M. DYGERT NP
Nurse Practitioner (Pediatrics)
725 EAST ADAMS STREET, 4TH FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-2036
JANE CHOI PA
Physician Assistant
725 EAST ADAMS STREET, 3RD FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-5533
REZWANA HOQUE PA
Physician Assistant
725 EAST ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-4842
DR. AZRA OSMANCEVIC PHD
Psychologist (Clinical)
725 EAST ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-5726
MR. ALI AL ALI PA
Physician Assistant
725 EAST ADAMS STREET, 3RD FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-6527
MRS. JANINE M ROBBINS NP
Nurse Practitioner (Pediatrics)
725 EAST ADAMS STREET
SYRACUSE, NY 13210
Onondaga County (315) 464-5726
MRS. RIM Z ABDULLAH NP
Nurse Practitioner (Family)
725 EAST ADAMS STREET, 4TH FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-5240

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 Midzy Lysius's NPI number?

The NPI number for Midzy Lysius is 1174995658. It was assigned to this individual provider in the NPPES registry on October 23, 2015.

Where is Midzy Lysius located?

Midzy Lysius practices at 725 East Adams Street, Syracuse, NY 13210. The listed phone number is (315) 464-4842.

What is Midzy Lysius's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Midzy Lysius enrolled in Medicare?

Yes. Midzy Lysius is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Midzy Lysius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Midzy Lysius reassigns Medicare benefits to 2 organizations: Suny Health Science Center At Syracuse (Syracuse, NY) and Kudos Medical PLLC (Chittenango, NY). Each 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 Midzy Lysius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Midzy Lysius affiliated with any hospitals?

According to CMS data, Midzy Lysius is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Midzy Lysius was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.