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

Q: 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.

Q: What is Lydia Van Dyke's specialty?

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

Q: 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.

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: August 16, 2026.

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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 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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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

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.

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 8

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

ALEXANDRA KITCHENS APRN

Obstetrics & Gynecology