LYDIA PEAVY DNP, FNP-BC, FNP-C
NPI 1356839864
Nurse Practitioner - Family in New York, NY

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment
356 W 18TH ST, NEW YORK, NY 10011(212) 271-7200 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2025, Feb 8, 2024, May 26, 2022 and 12 more (15 updates tracked since 2018).

About Lydia Peavy Dnp, Fnp-bc, Fnp-c NPPES

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

LYDIA PEAVY DNP, FNP-BC, FNP-C (NPI 1356839864) is an individual family provider in New York, New York, licensed in New York (F347285-01) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1356839864
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA PEAVYCredential: DNP, FNP-BC, FNP-C
Location Address356 W 18TH STNew York, NY 10011-4401
Mailing Address356 W 18th StNew York, NY 10011-4401 · (212) 271-7200 · Fax (212) 271-7225
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 30, 2018
Last NPPES UpdateSeptember 24, 202515 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
NPI 1356839864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NY · F347285-01 Licensed in GA · NP002362 Licensed in FL · 11011435 Licensed in CA · 95017969 Licensed in NJ · 26NJ01122600 Licensed in TX · 1117633
Also ListedRegistered NurseTaxonomy 163W00000X · License 732749 (NY), RN9488646 (FL)
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 26NR16179600 (NJ)
356 W 18TH ST, New York, NY 10011

Secondary Practice Locations 3

Location 12 Embarcadero Ctr Lbby LevelSan Francisco, CA 94111-3823 · Phone (888) 663-6331 · Fax (415) 252-7176
Location 240 Flatbush Extension, 3rd FloorBrooklyn, NY 11201 · Phone (718) 215-1800
Location 33144 3rd AveBronx, NY 10451-4629 · Phone (718) 215-1800

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

Lydia Peavy Dnp, Fnp-bc, Fnp-c 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 ID6800202458
PECOS Enrollment IDI20210621002808
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 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Nurse Practitioner (Psychiatric/Mental Health)
356 W 18TH ST
NEW YORK, NY 10011
Dentist (General Practice)
356 W 18TH ST
NEW YORK, NY 10011
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
Family Medicine
356 W 18TH ST
NEW YORK, NY 10011
Social Worker (Clinical)
356 W 18TH ST
NEW YORK, NY 10011
Registered Nurse (Psychiatric/Mental Health)
356 W 18TH ST
NEW YORK, NY 10011

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 Lydia Peavy's NPI number?

The NPI number for Lydia Peavy is 1356839864. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Where is Lydia Peavy located?

Lydia Peavy practices at 356 W 18th St, New York, NY 10011. The listed phone number is (212) 271-7200.

What is Lydia Peavy's specialty?

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

Is Lydia Peavy enrolled in Medicare?

Yes. Lydia Peavy 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.

When was this NPI record last updated?

The NPPES record for Lydia Peavy was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.