ANDREA LYLE MD
NPI 1225526858
Hospitalist in St Louis Park, MN

Q: What is Andrea Lyle's NPI number?

The NPI number for Andrea Lyle is 1225526858. It was assigned to this individual provider in the NPPES registry on April 30, 2018. The provider is also known as Andrea Sturdevant MD.

Q: What is Andrea Lyle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Lyle was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 30, 2018PECOS Enrolled

6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426(952) 993-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2021, Jun 23, 2021, Apr 20, 2021 and 1 more (4 updates tracked since 2018).

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About Andrea Lyle Md NPPES

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

ANDREA LYLE MD (NPI 1225526858) is an individual hospitalist provider in St Louis Park, Minnesota, licensed in Minnesota (69044) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225526858

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameANDREA LYLECredential: MD

Location Address6500 EXCELSIOR BLVDSt Louis Park, MN 55426-4702

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-5000

Sole ProprietorYes

Enumeration DateApril 30, 2018

Last NPPES UpdateJuly 16, 20214 updates tracked since enumeration

NPPES CertifiedJuly 16, 2021

✔ NPI 1225526858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MN · 69044

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6500 EXCELSIOR BLVD, St Louis Park, MN 55426

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Other Names 1

Former Name (1)Andrea Sturdevant Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Lyle 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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Lyle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Methodist Hospital

0.8 mi

General Acute Care Hospital

3900 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: Park Nicollet Clinic
2,527 clinicians in this Medicare group

NPI 1194113217 (952) 993-1953

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

NANCY COLE NELSON M.D.

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

DR. KATIE LYNN ANDRINAS MD, MPH

Obstetrics & Gynecology

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3282

CARA HOULE MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5000

JANET GRAYSON MD

Internal Medicine

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6600

JEFFREY J SHULTZ

Internal Medicine (Cardiovascular Disease)

6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-3246

MARY BETH JOHNSON OTR/L

Occupational Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6087

MARY KATHERINE KOSANDA P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-6014

JENNIFER A DEUTZ P.T.

Physical Therapist

6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

Hennepin County (952) 993-5900

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 Andrea Lyle's NPI number?

The NPI number for Andrea Lyle is 1225526858. It was assigned to this individual provider in the NPPES registry on April 30, 2018. The provider is also known as Andrea Sturdevant MD.

Where is Andrea Lyle located?

Andrea Lyle practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-5000.

What is Andrea Lyle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrea Lyle enrolled in Medicare?

Yes. Andrea Lyle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Lyle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Lyle reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Andrea Lyle'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 Andrea Lyle was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.