LYAH HOLMES N.P.
NPI 1649668559
Nurse Practitioner - Gerontology in Milwaukee, WI
About Lyah Holmes N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYAH HOLMES N.P. (NPI 1649668559) is an individual gerontology provider in Milwaukee, Wisconsin, licensed in Wisconsin (6152-33) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lyah Holmes N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lyah Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 86 clinicians in this Medicare group
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 53212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
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 Lyah Holmes's NPI number?
The NPI number for Lyah Holmes is 1649668559. It was assigned to this individual provider in the NPPES registry on December 30, 2014.
Where is Lyah Holmes located?
Lyah Holmes practices at 2555 N Martin Luther King Dr 2555 N Martin Luther King Dr, Milwaukee, WI 53212. The listed phone number is (414) 372-8080.
What is Lyah Holmes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Lyah Holmes enrolled in Medicare?
Yes. Lyah Holmes is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lyah Holmes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lyah Holmes reassigns Medicare benefits to Milwaukee Health Services, Inc. (Milwaukee, WI). 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 Lyah Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lyah Holmes was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Lyah Holmes, N.P. · NPI 1649668559
Gerontology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since December 30, 2014.
## Identity
- **NPI:** 1649668559 (Entity type: Individual)
- **Enumerated:** December 30, 2014
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 6152-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2555 N MARTIN LUTHER KING DR, 2555 N MARTIN LUTHER KING DR, Milwaukee, WI 53212-2709
- **Phone:** (414) 372-8080 · **Fax:** (414) 562-8084
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Milwaukee Health Services, Inc. (NPI 1518005818, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649668559) · Data from the CMS NPPES public registry.