MACY AYRES CPNP-PC
NPI 1295381010
Nurse Practitioner - Pediatrics in Tyler, TX

Q: What is Macy Ayres's NPI number?

The NPI number for Macy Ayres is 1295381010. It was assigned to this individual provider in the NPPES registry on August 16, 2019. The provider is also known as Macy Sims.

Q: What is Macy Ayres's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Macy Ayres was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2019PECOS Enrolled

2990 N BROADWAY AVE, TYLER, TX 75702(903) 535-9041(903) 592-3886 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, Aug 16, 2019 (2 updates tracked since 2019).

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About Macy Ayres Cpnp-pc NPPES

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

MACY AYRES CPNP-PC (NPI 1295381010) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (AP142764) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295381010

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMACY AYRESCredential: CPNP-PC

Location Address2990 N BROADWAY AVETyler, TX 75702-2149

Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041 · Fax (903) 531-9490

Phone(903) 535-9041

Fax(903) 592-3886

Sole ProprietorNo

Enumeration DateAugust 16, 2019

Last NPPES UpdateJune 6, 20252 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1295381010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · AP142764

2990 N BROADWAY AVE, Tyler, TX 75702

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Other Names 1

Former Name (1)Macy Sims

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Macy Ayres Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75702 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

DONNA LACHELLE JACKSON

Nurse Practitioner