MRS. JORDAN VERDIE LYONS PA-C
NPI 1609487735
Physician Assistant in Port Jefferson, NY
About Mrs. Jordan Verdie Lyons Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JORDAN VERDIE LYONS PA-C (NPI 1609487735) is an individual physician assistant in Port Jefferson, New York, licensed in New York (025252) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Mrs. Jordan Verdie Lyons Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
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 Jordan Lyons's NPI number?
The NPI number for Jordan Lyons is 1609487735. It was assigned to this individual provider in the NPPES registry on August 12, 2020.
Where is Jordan Lyons located?
Jordan Lyons practices at 635 Belle Terre Rd Ste 204, Port Jefferson, NY 11777. The listed phone number is (631) 474-0008.
What is Jordan Lyons's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jordan Lyons enrolled in Medicare?
Yes. Jordan Lyons 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.
Is Jordan Lyons affiliated with any hospitals?
According to CMS data, Jordan Lyons is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Jordan Lyons was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Jordan Verdie Lyons, PA-C · NPI 1609487735
Physician Assistant physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since August 12, 2020.
## Identity
- **NPI:** 1609487735 (Entity type: Individual)
- **Enumerated:** August 12, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 025252 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 635 BELLE TERRE RD STE 204, Port Jefferson, NY 11777-1977
- **Phone:** (631) 474-0008
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609487735) · Data from the CMS NPPES public registry.