LUCY XAYATHONE CNP
NPI 1497264881
Nurse Practitioner - Acute Care in Kettering, OH

Active since September 28, 2017PECOS EnrolledAccepts Medicare Assignment
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8166 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Nov 12, 2020, Mar 17, 2018 (3 updates tracked since 2018).

About Lucy Xayathone Cnp NPPES

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

LUCY XAYATHONE CNP (NPI 1497264881) is an individual acute care provider in Kettering, Ohio, licensed in Ohio (APRN.CNP.020868) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1497264881
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLUCY XAYATHONECredential: CNP
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address8280 Yankee StCenterville, OH 45458-1806 · (937) 436-4658
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 28, 2017
Last NPPES UpdateSeptember 6, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1497264881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in OH · APRN.CNP.020868
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.020868 (OH)
3535 SOUTHERN BLVD, Kettering, OH 45429

Secondary Practice Locations 6

Location 11141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 23535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 3100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 48701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 54000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 6405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3874 · Fax (937) 723-4209

Other Identifiers 1

Medicaid0248260OH

Accepted Insurance

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

Lucy Xayathone Cnp 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 ID6002172756
PECOS Enrollment IDI20171113001762
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429

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 Lucy Xayathone's NPI number?

The NPI number for Lucy Xayathone is 1497264881. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Where is Lucy Xayathone located?

Lucy Xayathone practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.

What is Lucy Xayathone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lucy Xayathone enrolled in Medicare?

Yes. Lucy Xayathone 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.

What insurance does Lucy Xayathone accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list Lucy Xayathone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lucy Xayathone affiliated with any hospitals?

According to CMS data, Lucy Xayathone is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Lucy Xayathone was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.