JESSICA RAE LYON
NPI 1205333077
Pediatrics in Ypsilanti, MI

Q: What is Jessica Lyon's NPI number?

The NPI number for Jessica Lyon is 1205333077. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Jessica Lyon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Lyon was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since April 09, 2018PECOS Enrolled

5301 MCAULEY DR, YPSILANTI, MI 48197(877) 336-6307(734) 887-8979 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2024, Mar 4, 2024, Jul 29, 2022 and 2 more (5 updates tracked since 2018).

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About Jessica Rae Lyon NPPES

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

JESSICA RAE LYON (NPI 1205333077) is an individual pediatrics provider in Ypsilanti, Michigan, licensed in Michigan (4301511319) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1205333077

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJESSICA RAE LYON

Location Address5301 MCAULEY DRYpsilanti, MI 48197-1051

Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-6800 · Fax (414) 337-7068

Phone(877) 336-6307

Fax(734) 887-8979

Sole ProprietorNo

Enumeration DateApril 9, 2018

Last NPPES UpdateOctober 7, 20245 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1205333077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MI · 4301511319✔ Licensed in WI · 75102

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 75102 (WI)

5301 MCAULEY DR, Ypsilanti, MI 48197

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Secondary Practice Locations 4

Location 13200 Pleasant Valley RdWest Bend, WI 53095-9274 · Phone (262) 836-7300 · Fax (262) 836-7301

Location 2W180N8085 Town Hall RdMenomonee Falls, WI 53051-3518 · Phone (262) 257-5000 · Fax (262) 518-5052

Location 39200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-6600 · Fax (414) 805-6622

Location 49000 W Wisconsin AveMilwaukee, WI 53226-4874 · Phone (414) 266-6800 · Fax (414) 337-7068

Other Identifiers 1

Medicaid1205333077WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rae Lyon 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 48197 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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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.

LINDSEY NICOLE FARAH-BRUNNER M.D.

Pediatrics