GWENDOLYN LYLES PA-C
NPI 1225875107
Physician Assistant in Konawa, OK
About Gwendolyn Lyles Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWENDOLYN LYLES PA-C (NPI 1225875107) is an individual physician assistant in Konawa, Oklahoma and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ada, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Gwendolyn Lyles Pa-c 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Ada
Acute Care Hospitals · Ada, OKSsm Health St Anthony Hospital - Shawnee
Acute Care Hospitals · Shawnee, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74849 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
KONAWA, OK 74849
KONAWA, OK 74849
KONAWA, OK 74849
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 Gwendolyn Lyles's NPI number?
The NPI number for Gwendolyn Lyles is 1225875107. It was assigned to this individual provider in the NPPES registry on July 9, 2024.
Where is Gwendolyn Lyles located?
Gwendolyn Lyles practices at 527 W 3rd St, Konawa, OK 74849. The listed phone number is (580) 925-3286.
What is Gwendolyn Lyles's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Gwendolyn Lyles enrolled in Medicare?
Yes. Gwendolyn Lyles 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.
What insurance does Gwendolyn Lyles accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Gwendolyn Lyles 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.
Is Gwendolyn Lyles affiliated with any hospitals?
According to CMS data, Gwendolyn Lyles is affiliated with Mercy Hospital Ada and Ssm Health St Anthony Hospital - Shawnee.
When was this NPI record last updated?
The NPPES record for Gwendolyn Lyles was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
