Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACEE LYDERS CPNP-PC
NPI 1548804206
Nurse Practitioner - Pediatrics in Tucson, AZ

Q: What is Stacee Lyders's NPI number?

The NPI number for Stacee Lyders is 1548804206. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Q: What is Stacee Lyders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Stacee Lyders was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.

Active since November 05, 2019PECOS Enrolled

2222 N CRAYCROFT RD STE 150, TUCSON, AZ 85712(520) 202-3488(520) 202-3486 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2020, Nov 5, 2019 (2 updates tracked since 2019).

On this page

About Stacee Lyders Cpnp-pc NPPES

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

STACEE LYDERS CPNP-PC (NPI 1548804206) is an individual pediatrics provider in Tucson, Arizona, licensed in Arizona (228942) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548804206

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSTACEE LYDERSCredential: CPNP-PC

Location Address2222 N CRAYCROFT RD STE 150Tucson, AZ 85712-2816

Mailing Address4801 E Broadway Blvd Ste 251Tucson, AZ 85711-2700 · (520) 382-1085

Phone(520) 202-3488

Fax(520) 202-3486

Sole ProprietorNo

Enumeration DateNovember 5, 2019

Last NPPES UpdateJune 25, 20262 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1548804206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in AZ · 228942

2222 N CRAYCROFT RD STE 150, Tucson, AZ 85712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacee Lyders Cpnp-pc 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 85712 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 3

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

DEEPA AGARWAL MD

Pediatrics

2222 N CRAYCROFT RD STE 150
TUCSON, AZ 85712

Pima County (520) 202-3488

SHAFIA SABA MEMON MD

Pediatrics

2222 N CRAYCROFT RD STE 150
TUCSON, AZ 85712

Pima County (520) 202-3488

MR. DUANE F DYSON MD

Pediatrics

2222 N CRAYCROFT RD STE 150
TUCSON, AZ 85712

Pima County (520) 202-3488

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 Stacee Lyders's NPI number?

The NPI number for Stacee Lyders is 1548804206. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Stacee Lyders located?

Stacee Lyders practices at 2222 N Craycroft Rd Ste 150, Tucson, AZ 85712. The listed phone number is (520) 202-3488.

What is Stacee Lyders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Stacee Lyders enrolled in Medicare?

Yes. Stacee Lyders is registered in the Medicare PECOS enrollment system.

What insurance does Stacee Lyders accept?

Health plans from Blue Cross Blue Shield of Arizona list Stacee Lyders 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.

When was this NPI record last updated?

The NPPES record for Stacee Lyders was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.