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LYS MAIKE ICE APRN
NPI 1548976830
Nurse Practitioner - Family in Seffner, FL

Active since January 30, 2023PECOS Enrolled
853 SUNRIDGE POINT DR, SEFFNER, FL 33584(740) 538-1100 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lys Maike Ice Aprn NPPES

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

LYS MAIKE ICE APRN (NPI 1548976830) is an individual family provider in Seffner, Florida, licensed in Florida (APRN11012671) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548976830
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYS MAIKE ICECredential: APRN
Location Address853 SUNRIDGE POINT DRSeffner, FL 33584-5915
Mailing Address853 Sunridge Point DrSeffner, FL 33584-5915
Phone(740) 538-1100
Sole ProprietorYes
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1548976830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11012671
853 SUNRIDGE POINT DR, Seffner, FL 33584
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lys Maike Ice Aprn 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 33584 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Lys Ice's NPI number?

The NPI number for Lys Ice is 1548976830. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Lys Ice located?

Lys Ice practices at 853 Sunridge Point Dr, Seffner, FL 33584. The listed phone number is (740) 538-1100.

What is Lys Ice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lys Ice enrolled in Medicare?

Yes. Lys Ice is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lys Ice was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.