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RAE LEEN HANNAH-LYON AGACNP-BC
NPI 1619499241
Nurse Practitioner - Acute Care in Fort Worth, TX

Active since July 14, 2017PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-5553 Get Directions Write a Review

NPPES record last updated: March 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2018, Jul 14, 2017 (2 updates tracked since 2017).

About Rae Leen Hannah-lyon Agacnp-bc NPPES

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

RAE LEEN HANNAH-LYON AGACNP-BC (NPI 1619499241) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (AP134481) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619499241
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameRAE LEEN HANNAH-LYONCredential: AGACNP-BC
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1412 May StFort Worth, TX 76104-7639 · (817) 702-3431 · Fax (817) 927-3603
Phone(817) 702-5553
Sole ProprietorNo
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 1, 20182 updates tracked since enumeration
✔ NPI 1619499241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP134481
1500 S MAIN ST, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Former Name (1)Rae Leen Hannah

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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)

Rae Leen Hannah-lyon Agacnp-bc 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 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Rae Hannah-lyon's NPI number?

The NPI number for Rae Hannah-lyon is 1619499241. It was assigned to this individual provider in the NPPES registry on July 14, 2017. The provider is also known as Rae Leen Hannah.

Where is Rae Hannah-lyon located?

Rae Hannah-lyon practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-5553.

What is Rae Hannah-lyon's specialty?

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

Is Rae Hannah-lyon enrolled in Medicare?

Yes. Rae Hannah-lyon is registered in the Medicare PECOS enrollment system.

What insurance does Rae Hannah-lyon accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Rae Hannah-lyon 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 Rae Hannah-lyon was last updated on March 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.