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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Other Names 1

Former Name (1)Macy Sims

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Macy Ayres reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tyler Family Circle Of Care
8.2 mi
Federally Qualified Health Center (FQHC)
13172 STATE HIGHWAY 64 E
Tyler, TX 75707
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
NPI 1144575820 (903) 535-9041

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 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.

Other Providers at the Same Location NPPES 17

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

DONNA LACHELLE JACKSON
Nurse Practitioner
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (903) 535-9041
CAROLYN R RISINGER MD
Pediatrics
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (903) 593-1892
POCHIN HSU YIN MD
Pediatrics
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (903) 593-1892
MR. DON EARL HORN B.S., LBSW
Social Worker
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (905) 593-1892
STACY R MORGAN FNP-C
Nurse Practitioner (Family)
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (903) 535-9041
BEVERLY J HARGROVE APRN
Nurse Practitioner (Pediatrics)
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (903) 535-9041
PATRICIA D DRAGO NP
Nurse Practitioner (Pediatrics)
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (903) 593-1892
LAMESA LASHELL BELL
Nurse Practitioner (Pediatrics)
2990 N BROADWAY AVE
TYLER, TX 75702
Smith County (903) 535-9041

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 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.

Where is Macy Ayres located?

Macy Ayres practices at 2990 N Broadway Ave, Tyler, TX 75702. The listed phone number is (903) 535-9041.

What is Macy Ayres's specialty?

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

Is Macy Ayres enrolled in Medicare?

Yes. Macy Ayres is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Macy Ayres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Macy Ayres reassigns Medicare benefits to Tyler Family Circle Of Care (Tyler, TX). 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 Macy Ayres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Macy Ayres accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Macy Ayres 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 Macy Ayres was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.