ERICA LYONS MS, RN, APRN
NPI 1265821581
Nurse Practitioner - Family in Southbury, CT

Active since January 12, 2015PECOS EnrolledAccepts Medicare Assignment
1449 OLD WATERBURY RD, SUITE 205, OFFICE B, SOUTHBURY, CT 06488(215) 585-2144(267) 780-7032 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Erica Lyons Ms, Rn, Aprn NPPES

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

ERICA LYONS MS, RN, APRN (NPI 1265821581) is an individual family provider in Southbury, Connecticut, licensed in Connecticut (12.006085) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Vermont College Of Medicine (2015).

NPPES Registry Identity

NPI1265821581
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICA LYONSCredential: MS, RN, APRN
Location Address1449 OLD WATERBURY RD, SUITE 205, OFFICE BSouthbury, CT 06488-3926
Mailing Address228 Park Ave S, Suite 15314New York, NY 10003-2018 · (215) 585-2144
Fax(267) 780-7032
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2015
Enumeration DateJanuary 12, 2015
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1265821581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 12.006085
1449 OLD WATERBURY RD, Southbury, CT 06488

Secondary Practice Locations 2

Location 140 Mansfield Ave, Generations Family Health CenterWillimantic, CT 06226-2018 · Phone (860) 450-7471 · Fax (860) 450-0213
Location 217 G W Tatro DriveJeffersonville, VT 05464 · Phone (215) 585-2144 · Fax (267) 780-7032

Accepted 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

Erica Lyons Ms, Rn, Aprn 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 ID4486975240
PECOS Enrollment IDI20150604001715, I20211029000113, I20230223001516, I20230807002581, I20251230000460, I20260410000353
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 Erica Lyons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
161 CECIL B MOORE AVE APT 204
Philadelphia, PA 19122
  • Reassigned Medicare billing, Connecticut, Florida, Maine, Montana, New York, Pennsylvania and Vermont enrollments
  • Medicare enrollment name: Ophelia Medical Group Fl PA
  • 7 clinicians in this Medicare group

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 06488 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims32 services$5.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Psychologist (Clinical)
1449 OLD WATERBURY RD, SUITE 307 A
SOUTHBURY, CT 06488
Marriage & Family Therapist
1449 OLD WATERBURY RD, ONE RESERVOIR OFFICE PARK 306B
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, SUITE 304
SOUTHBURY, CT 06488
Occupational Therapist (Pediatrics)
1449 OLD WATERBURY RD, SUITE 104
SOUTHBURY, CT 06488
Dentist
1449 OLD WATERBURY RD, UNIT 202, ONE RESERVOIR PARK
SOUTHBURY, CT 06488
Optometrist
1449 OLD WATERBURY RD, UNIT 304
SOUTHBURY, CT 06488

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 Erica Lyons's NPI number?

The NPI number for Erica Lyons is 1265821581. It was assigned to this individual provider in the NPPES registry on January 12, 2015.

Where is Erica Lyons located?

Erica Lyons practices at 1449 Old Waterbury Rd Suite 205, Office B, Southbury, CT 06488. The listed phone number is (215) 585-2144.

What is Erica Lyons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Erica Lyons enrolled in Medicare?

Yes. Erica Lyons 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 organization bills Medicare for Erica Lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Lyons reassigns Medicare benefits to Ophelia Medical Group Fl, P.A. (Philadelphia, PA). 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 Erica Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Lyons accept?

Health plans from Anthem Blue Cross and Blue Shield list Erica Lyons 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 Erica Lyons was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.