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NICHOLE LYNN LYSICK D.O.
NPI 1417343930
Pediatrics in Indiana, PA

Active since April 10, 2015PECOS Enrolled
15 S 8TH ST STE 200, INDIANA, PA 15701(724) 463-0476 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, May 22, 2018 (2 updates tracked since 2018).

About Nichole Lynn Lysick D.o. NPPES

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

NICHOLE LYNN LYSICK D.O. (NPI 1417343930) is an individual pediatrics provider in Indiana, Pennsylvania, licensed in Pennsylvania (OS019207) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Danville.

NPPES Registry Identity

NPI1417343930
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNICHOLE LYNN LYSICKCredential: D.O.
Location Address15 S 8TH ST STE 200Indiana, PA 15701-2776
Mailing Address15 S 8th St Ste 200Indiana, PA 15701-2776 · (724) 463-0476
Phone(724) 463-0476
Sole ProprietorNo
Enumeration DateApril 10, 2015
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
✔ NPI 1417343930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · OS019207
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
15 S 8TH ST STE 200, Indiana, PA 15701
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Other Names 1

Former Name (1)Nichole Lynn Foust

Secondary Practice Location 1

Location 1Geisinger Medical Ctr, 100 North Academy AveDanville, PA 17822-0001 · Phone (570) 271-6211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nichole Lynn Lysick D.o. 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 Nichole Lysick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
37 mi
Internal Medicine
2585 FREEPORT RD, SUITE 202
Pittsburgh, PA 15238
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1316191224 (866) 463-1656

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 15701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Nichole Lysick's NPI number?

The NPI number for Nichole Lysick is 1417343930. It was assigned to this individual provider in the NPPES registry on April 10, 2015. The provider is also known as Nichole Lynn Foust.

Where is Nichole Lysick located?

Nichole Lysick practices at 15 S 8th St Ste 200, Indiana, PA 15701. The listed phone number is (724) 463-0476.

What is Nichole Lysick's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nichole Lysick enrolled in Medicare?

Yes. Nichole Lysick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nichole Lysick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Lysick reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Nichole Lysick'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 Nichole Lysick was last updated on July 23, 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.