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MR. PATRICK LYONS
NPI 1629786801
Nurse Anesthetist, Certified Registered in Portland, OR

Active since November 07, 2022Accepts Medicare Assignment
428 NE IVY ST, PORTLAND, OR 97212(559) 394-9744 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 1, 2024, Nov 7, 2022 (2 updates tracked since 2022).

About Mr. Patrick Lyons NPPES

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

MR. PATRICK LYONS (NPI 1629786801) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (10046885) and active in the NPI registry since November 2022. He is affiliated with Providence St Vincent Medical Center and is a graduate of Oregon Health Sciences University School Of Medicine (2023).

NPPES Registry Identity

NPI1629786801
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. PATRICK LYONS
Location Address428 NE IVY STPortland, OR 97212-2158
Mailing Address428 Ne Ivy StPortland, OR 97212-2158 · (559) 394-9744
Phone(559) 394-9744
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2023
Enumeration DateNovember 7, 2022
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1629786801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OR · 10046885
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 202010952RN (OR)
428 NE IVY ST, Portland, OR 97212
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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 and accepts Medicare assignment

Mr. Patrick Lyons 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.

PECOS PAC ID3173030046
PECOS Enrollment IDI20250725002549

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97212 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 Patrick Lyons's NPI number?

The NPI number for Patrick Lyons is 1629786801. It was assigned to this individual provider in the NPPES registry on November 7, 2022.

Where is Patrick Lyons located?

Patrick Lyons practices at 428 NE Ivy St, Portland, OR 97212. The listed phone number is (559) 394-9744.

What is Patrick Lyons's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Patrick Lyons enrolled in Medicare?

Yes. Patrick 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 Patrick Lyons affiliated with any hospitals?

According to CMS data, Patrick Lyons is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Patrick Lyons was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.