MR. LYLE MOLINA
NPI 1649687435
Nurse Practitioner - Family in Elk Grove, CA
About Mr. Lyle Molina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LYLE MOLINA (NPI 1649687435) is an individual family provider in Elk Grove, California, licensed in California (23822) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Roseville, and is a graduate of Other (2012).
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 and accepts Medicare assignment
Mr. Lyle Molina 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.
Medicare Billing Reassignment
Medicare enrollment records show Lyle Molina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elk Grove, CA 95758
- Reassigned Medicare billing, California enrollment
- 1,191 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95757 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELK GROVE, CA 95757
ELK GROVE, CA 95757
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 Lyle Molina's NPI number?
The NPI number for Lyle Molina is 1649687435. It was assigned to this individual provider in the NPPES registry on July 14, 2014.
Where is Lyle Molina located?
Lyle Molina practices at 8220 Wymark Dr Ste 200, Elk Grove, CA 95757. The listed phone number is (916) 667-0600.
What is Lyle Molina's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lyle Molina enrolled in Medicare?
Yes. Lyle Molina 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.
Which organization bills Medicare for Lyle Molina's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lyle Molina reassigns Medicare benefits to Dignity Health Medical Foundation (Elk Grove, CA). 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 Lyle Molina'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 Lyle Molina was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mr. Lyle Molina · NPI 1649687435
Family physician in Elk Grove, California. Individual provider, active in the CMS NPPES registry since July 14, 2014.
## Identity
- **NPI:** 1649687435 (Entity type: Individual)
- **Enumerated:** July 14, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23822 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8220 WYMARK DR STE 200, Elk Grove, CA 95757-6298
- **Phone:** (916) 667-0600 · **Fax:** (916) 683-0232
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dignity Health Medical Foundation (NPI 1558495937, Elk Grove, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 19, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1649687435) · Data from the CMS NPPES public registry.