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LYDIA JEANETTE VAN DYKE APRN CNM
NPI 1225681695
Advanced Practice Midwife in Chattanooga, TN

Active since July 24, 2019PECOS EnrolledAccepts Medicare Assignment
1511 GUNBARREL RD STE 111, CHATTANOOGA, TN 37421(423) 266-6116(423) 498-3633 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lydia Jeanette Van Dyke Aprn Cnm NPPES

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

LYDIA JEANETTE VAN DYKE APRN CNM (NPI 1225681695) is an individual advanced practice midwife in Chattanooga, Tennessee, licensed in Tennessee (25989) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chattanooga, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1225681695
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameLYDIA JEANETTE VAN DYKECredential: APRN CNM
Location Address1511 GUNBARREL RD STE 111Chattanooga, TN 37421-3897
Mailing Address1032 Mccallie Ave Ste 310Chattanooga, TN 37403-2836 · (423) 266-6116 · Fax (423) 498-3633
Phone(423) 266-6116
Fax(423) 498-3633
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 24, 2019
✔ NPI 1225681695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in TN · 25989
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1511 GUNBARREL RD STE 111, Chattanooga, TN 37421
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Secondary Practice Location 1

Location 11032 McCallie Ave Ste 310Chattanooga, TN 37403-2836 · Phone (423) 266-6116 ext. 3 · Fax (423) 498-3633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lydia Jeanette Van Dyke Aprn Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214367606
PECOS Enrollment IDI20200427001709
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 Lydia Van Dyke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jack M Rowland, MD, LLC
Same address
Obstetrics & Gynecology
1511 GUNBARREL RD STE 111
Chattanooga, TN 37421
  • Reassigned Medicare billing, Tennessee enrollment
  • 10 clinicians in this Medicare group
NPI 1609095108 (423) 553-5999
Diana Health Tn, PC
103 mi
Obstetrics & Gynecology
300 STONECREST BLVD STE 310
Smyrna, TN 37167
  • Reassigned Medicare billing, Tennessee enrollment
  • 109 clinicians in this Medicare group
NPI 1457020844 (629) 206-6858

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 37421 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

LIBBY COMBS FNP-BC
Nurse Practitioner (Family)
1511 GUNBARREL RD STE 111
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5999
MR. JACK M. ROWLAND MD
Obstetrics & Gynecology
1511 GUNBARREL RD STE 111
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5999
MARY KATHERINE GRANT APRN, CNM
Advanced Practice Midwife
1511 GUNBARREL RD STE 111
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5999
AUTUMN J. HOLMES MSN, NP-C
Nurse Practitioner
1511 GUNBARREL RD STE 111
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5999
JACK M ROWLAND, MD, LLC
Obstetrics & Gynecology
1511 GUNBARREL RD STE 111
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5999
DR. KREG GOSTA JONSON M.D.
Obstetrics & Gynecology (Obstetrics)
1511 GUNBARREL RD STE 111
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5999
COURTNEY STONE APRN, FNP-C
Nurse Practitioner (Family)
1511 GUNBARREL RD STE 111
CHATTANOOGA, TN 37421
Hamilton County (423) 553-5999

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 Lydia Van Dyke's NPI number?

The NPI number for Lydia Van Dyke is 1225681695. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Lydia Van Dyke located?

Lydia Van Dyke practices at 1511 Gunbarrel Rd Ste 111, Chattanooga, TN 37421. The listed phone number is (423) 266-6116.

What is Lydia Van Dyke's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Lydia Van Dyke enrolled in Medicare?

Yes. Lydia Van Dyke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lydia Van Dyke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Van Dyke reassigns Medicare benefits to 2 organizations: Jack M Rowland, MD, LLC (Chattanooga, TN) and Diana Health Tn, PC (Smyrna, TN). 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 Lydia Van Dyke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lydia Van Dyke accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Lydia Van Dyke 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 Lydia Van Dyke was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.