NICOLE LYNN LYDON CRNP
NPI 1235892712
Nurse Practitioner in Philadelphia, PA

Q: What is Nicole Lydon's NPI number?

The NPI number for Nicole Lydon is 1235892712. It was assigned to this individual provider in the NPPES registry on October 20, 2021. The provider is also known as Nicole Lynn Werner.

Q: What is Nicole Lydon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Lydon was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 20, 2021PECOS EnrolledAccepts Medicare Assignment

79.93/100

CMS Quality Rating

51 N 39TH ST, PHILADELPHIA, PA 19104(215) 316-5151 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, Oct 20, 2021 (2 updates tracked since 2021).

On this page

About Nicole Lynn Lydon Crnp NPPES

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

NICOLE LYNN LYDON CRNP (NPI 1235892712) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025107) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Penn Presbyterian Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2021).

NPPES Registry Identity

NPI1235892712

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE LYNN LYDONCredential: CRNP

Location Address51 N 39TH STPhiladelphia, PA 19104-2640

Mailing Address51 N 39th St Fl 3Philadelphia, PA 19104-2640 · (215) 494-6927

Phone(215) 316-5151

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2021

Enumeration DateOctober 20, 2021

Last NPPES UpdateJune 3, 20252 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1235892712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP025107

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN685393 (PA)

51 N 39TH ST, Philadelphia, PA 19104

Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole Lynn Werner

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

Nicole Lynn Lydon Crnp 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 ID8426441775

PECOS Enrollment IDI20220209000098

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.51

Promoting Interoperability

100

Improvement Activities

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.

DR. ROBERT BURKE M.D.

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

JOSEPH FRANCIS HARRYHILL MD

Urology

51 N 39TH ST, MOB SUITE 300
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8699

NIELS DOUGLAS MARTIN MD

Surgery (Trauma Surgery)

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

DESIREE E KOTARBA CRNA

Registered Nurse

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8000

DR. SONYA LEE MD

Obstetrics & Gynecology (Gynecology)

51 N 39TH ST, MOB 340
PHILA, PA 19104

Philadelphia County (215) 662-9775

GARY J VIGILANTE MD

Internal Medicine (Cardiovascular Disease)

51 N 39TH ST, PHI BLDG STE 2C PENN PRESBYTERIAN MEDICAL CENTER
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9010

ANITA C LEE MD

Internal Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9436

GIRIDHAR MALLYA MD

Family Medicine

51 N 39TH ST
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-8777

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 Nicole Lydon's NPI number?

The NPI number for Nicole Lydon is 1235892712. It was assigned to this individual provider in the NPPES registry on October 20, 2021. The provider is also known as Nicole Lynn Werner.

Where is Nicole Lydon located?

Nicole Lydon practices at 51 N 39th St, Philadelphia, PA 19104. The listed phone number is (215) 316-5151.

What is Nicole Lydon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Lydon enrolled in Medicare?

Yes. Nicole Lydon 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.

Is Nicole Lydon affiliated with any hospitals?

According to CMS data, Nicole Lydon is affiliated with Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Lydon was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.