STACEY AMANDA LYTLE APRN-CNP
NPI 1265989982
Nurse Practitioner - Family in Oklahoma City, OK

Active since September 10, 2016PECOS EnrolledAccepts Medicare Assignment
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120(405) 242-4030(405) 242-4031 Get Directions Write a Review

NPPES record last updated: October 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Amanda Lytle Aprn-cnp NPPES

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

STACEY AMANDA LYTLE APRN-CNP (NPI 1265989982) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (102245) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265989982
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY AMANDA LYTLECredential: APRN-CNP
Location Address4140 W MEMORIAL RD, SUITE 215Oklahoma City, OK 73120-8366
Mailing Address4140 W Memorial Rd, Suite 215Oklahoma City, OK 73120-8366 · (405) 242-4030 · Fax (405) 242-4031
Fax(405) 242-4031
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 10, 2016
Last NPPES UpdateOctober 6, 2016
NPI 1265989982 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 OK · 102245
4140 W MEMORIAL RD, Oklahoma City, OK 73120

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

Stacey Amanda Lytle Aprn-cnp 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 ID840578159
PECOS Enrollment IDI20161020001216
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.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

Specialist
4140 W MEMORIAL RD, SUITE 215
OKLAHOMA CITY, OK 73120
Specialist
4140 W MEMORIAL RD, SUITE 621
OKLAHOMA CITY, OK 73120
Urology
4140 W MEMORIAL RD, SUITE 611
OKLAHOMA CITY, OK 73120
Urology
4140 W MEMORIAL RD, SUITE 518
OKLAHOMA CITY, OK 73120
Genetic Counselor, MS
4140 W MEMORIAL RD, SUITE 321
OKLAHOMA CITY, OK 73120
Pediatrics
4140 W MEMORIAL RD, 413
OKLAHOMA CITY, OK 73120
Dentist (Oral and Maxillofacial Surgery)
4140 W MEMORIAL RD, THE PLAZA #201
OKLAHOMA CITY, OK 73120
Psychologist (Clinical)
4140 W MEMORIAL RD, SUITE 221
OKLAHOMA CITY, OK 73120

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 Stacey Lytle's NPI number?

The NPI number for Stacey Lytle is 1265989982. It was assigned to this individual provider in the NPPES registry on September 10, 2016.

Where is Stacey Lytle located?

Stacey Lytle practices at 4140 W Memorial Rd Suite 215, Oklahoma City, OK 73120. The listed phone number is (405) 242-4030.

What is Stacey Lytle's specialty?

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

Is Stacey Lytle enrolled in Medicare?

Yes. Stacey Lytle 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 Stacey Lytle accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Stacey Lytle 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 Stacey Lytle affiliated with any hospitals?

According to CMS data, Stacey Lytle is affiliated with Mercy Hospital Oklahoma City, Inc.

When was this NPI record last updated?

The NPPES record for Stacey Lytle was last updated on October 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.