MISS MARY CHRISTINE LYLE
NPI 1386056117
Nurse Practitioner - Family in Boise, ID

Active since May 28, 2014PECOS Enrolled
500 W FORT ST, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Mary Christine Lyle NPPES

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

MISS MARY CHRISTINE LYLE (NPI 1386056117) is an individual family provider in Boise, Idaho, licensed in Idaho (N-31924) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386056117
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS MARY CHRISTINE LYLE
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address1786 N Prestwick WayEagle, ID 83616-6688 · (208) 709-4992
Sole ProprietorNo
Enumeration DateMay 28, 2014
Last NPPES UpdateMay 14, 2024
NPPES CertifiedMay 14, 2024
NPI 1386056117 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
Licenses Licensed in ID · N-31924 Licensed in ID · NP-1436A Licensed in ID · 1436A
500 W FORT ST, Boise, ID 83702

Other Names 1

Former Name (1)Mary Christine Henesh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Mary Christine Lyle 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 83702 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist (Pharmacotherapy)
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Pharmacist
500 W FORT ST
BOISE, ID 83702
Clinical Nurse Specialist (Critical Care Medicine)
500 W FORT ST
BOISE, ID 83702
Nurse Practitioner (Primary Care)
500 W FORT ST
BOISE, ID 83702
Psychiatry & Neurology (Psychiatry)
500 W FORT ST, BOISE VAMC
BOISE, ID 83702
Pharmacist (Pharmacotherapy)
500 W FORT ST
BOISE, ID 83702

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 Mary Lyle's NPI number?

The NPI number for Mary Lyle is 1386056117. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Mary Lyle located?

Mary Lyle practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Mary Lyle's specialty?

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

Is Mary Lyle enrolled in Medicare?

Yes. Mary Lyle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Lyle was last updated on May 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.