1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Nurse Practitioner
  6. NPI Profile

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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacee Lyders reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arizona Community Physicians PC
1.9 mi
Internal Medicine
5055 E BROADWAY BLVD, SUITE A100
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 264 clinicians in this Medicare group
NPI 1205871076 (520) 327-0460

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 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.

Which organization bills Medicare for Stacee Lyders's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacee Lyders reassigns Medicare benefits to Arizona Community Physicians PC (Tucson, AZ). 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 Stacee Lyders's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 4 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.