MADELINE MARIE LYONS
NPI 1295354504
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 16, 2020PECOS Enrolled
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: March 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2023, Apr 16, 2020 (2 updates tracked since 2020).

About Madeline Marie Lyons NPPES

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

MADELINE MARIE LYONS (NPI 1295354504) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (2023).

NPPES Registry Identity

NPI1295354504
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADELINE MARIE LYONS
Location Address3181 SW SAM JACKSON PARK RDPortland, OR 97239-3098
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3098 · (503) 494-8211
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2023
Enumeration DateApril 16, 2020
Last NPPES UpdateMarch 19, 20232 updates tracked since enumeration
NPPES CertifiedMarch 19, 2023
✔ NPI 1295354504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madeline Marie Lyons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002276250
PECOS Enrollment IDI20260819003361
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 Madeline Lyons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1920 BLACK LAKE BLVD SW
Olympia, WA 98512
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 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.

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.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Madeline Lyons's NPI number?

The NPI number for Madeline Lyons is 1295354504. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Madeline Lyons located?

Madeline Lyons practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Madeline Lyons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Madeline Lyons enrolled in Medicare?

Yes. Madeline Lyons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madeline Lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Lyons reassigns Medicare benefits to Multicare Health System (Olympia, WA). 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 Madeline Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeline Lyons accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Madeline 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 Madeline Lyons was last updated on March 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.