LYNDSAY ARCHER MD
NPI 1205624699
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Lyndsay Archer's NPI number?

The NPI number for Lyndsay Archer is 1205624699. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Q: What is Lyndsay Archer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lyndsay Archer was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 28, 2025PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lyndsay Archer Md NPPES

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

LYNDSAY ARCHER MD (NPI 1205624699) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205624699

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameLYNDSAY ARCHERCredential: MD

Location Address3901 BEAUBIEN STDetroit, MI 48201-2196

Mailing Address26488 Senator BlvdSouthfield, MI 48034-5680 · (248) 470-3660

Phone(313) 745-5437

Sole ProprietorYes

Enumeration DateApril 28, 2025

NPPES CertifiedApril 27, 2025

✔ NPI 1205624699 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

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.

3901 BEAUBIEN ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyndsay Archer Md 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.

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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)