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MS. SUSAN BLAKE LYONS PA
NPI 1487681243
Physician Assistant - Medical in Le Roy, NY

Active since June 27, 2006PECOS Enrolled
3 TOUNTAS AVE, SUITE 3, LE ROY, NY 14482(585) 767-4220(585) 768-8165 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Blake Lyons Pa NPPES

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

MS. SUSAN BLAKE LYONS PA (NPI 1487681243) is an individual medical provider in Le Roy, New York, licensed in New York (004828) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487681243
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. SUSAN BLAKE LYONSCredential: PA
Location Address3 TOUNTAS AVE, SUITE 3Le Roy, NY 14482-1368
Mailing Address3 Tountas Ave, Suite 3Le Roy, NY 14482-1368 · (585) 767-4220 · Fax (585) 768-8165
Phone(585) 767-4220
Fax(585) 768-8165
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1487681243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 004828
3 TOUNTAS AVE, Le Roy, NY 14482
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINS44085
Medicaid02395962NY
Medicare PINPA0009 (BA0017 GRP)NY
Medicare PINH77008 (70008A GROUPNY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan Blake Lyons Pa 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.

Other Providers at the Same Location NPPES 5

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

STANLEY WALTER AMBIS MD
Family Medicine
3 TOUNTAS AVE, SUITE 4
LE ROY, NY 14482
Genesee County (585) 768-6530
ELAINE LEMLEY PA
Physician Assistant (Medical)
3 TOUNTAS AVE
LE ROY, NY 14482
Genesee County (585) 768-6530
LEROY FAMILY MEDICAL CARE, PLLC
Internal Medicine
3 TOUNTAS AVE, SUITE 1
LE ROY, NY 14482
Genesee County (585) 768-4400
DR. DENIZ MEHMET PIRINCCI M.D.
Internal Medicine
3 TOUNTAS AVE
LE ROY, NY 14482
Genesee County (585) 768-4670
MRS. AMY QUINN MILLER RD, CDE, CDN
Dietitian, Registered
3 TOUNTAS AVE
LE ROY, NY 14482
Genesee County (585) 368-4560

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 Susan Lyons's NPI number?

The NPI number for Susan Lyons is 1487681243. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Susan Lyons located?

Susan Lyons practices at 3 Tountas Ave Suite 3, Le Roy, NY 14482. The listed phone number is (585) 767-4220.

What is Susan Lyons's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Lyons enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Susan Lyons was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.