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MARIAH LYONS NP
NPI 1336981356
Nurse Practitioner - Family in Los Angeles, CA

Active since June 10, 2024PECOS Enrolled
4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200(323) 432-4877 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mariah Lyons Np NPPES

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

MARIAH LYONS NP (NPI 1336981356) is an individual family provider in Los Angeles, California, licensed in California (95030440) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336981356
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAH LYONSCredential: NP
Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629
Mailing Address4425 S Central AveLos Angeles, CA 90011-3629 · (323) 908-4200 · Fax (323) 432-4877
Phone(323) 908-4200
Fax(323) 432-4877
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 10, 2024
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1336981356 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 CA · 95030440
4425 S CENTRAL AVE, Los Angeles, CA 90011
Open in Google Maps ↗

Other Names 1

Former Name (1)Mariah Jones

Secondary Practice Locations 2

Location 15042 Wilshire Blvd # 485Los Angeles, CA 90036-4305 · Phone (323) 795-3527
Location 21028 E Vernon AveLos Angeles, CA 90011-3717 · Phone (323) 908-4200 · Fax (323) 432-4877

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7113481748
PECOS Enrollment IDI20260714003930
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 Mariah Lyons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Central Family Health Center
Same address
Federally Qualified Health Center (FQHC)
4425 S CENTRAL AVE
Los Angeles, CA 90011
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
NPI 1396891909 (323) 908-4239

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 90011 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

LYANNE DAISY DUARTE FNP-BC
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 696-7946
RUBEN GARCIA DE ALBA PA-C
Physician Assistant
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
RACHEL OCAMPO
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
GILLIAN BIELER LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
ERIKA B YANEZ FNP-C
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
MINCI SEKOU MOODY DR.
Nurse Practitioner (Psychiatric/Mental Health)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
MR. JAIME BOTERO LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
COLLEEN CROSBY
Case Manager/Care Coordinator
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4290

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 Mariah Lyons's NPI number?

The NPI number for Mariah Lyons is 1336981356. It was assigned to this individual provider in the NPPES registry on June 10, 2024. The provider is also known as Mariah Jones.

Where is Mariah Lyons located?

Mariah Lyons practices at 4425 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 908-4200.

What is Mariah Lyons's specialty?

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

Is Mariah Lyons enrolled in Medicare?

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

Which organization bills Medicare for Mariah Lyons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariah Lyons reassigns Medicare benefits to South Central Family Health Center (Los Angeles, CA). 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 Mariah Lyons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariah Lyons was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.