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DR. REBECCAH SUSANNE LYLES PMH-DNP
NPI 1659066512
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since April 06, 2023PECOS Enrolled
1608 5TH ST NW, ALBUQUERQUE, NM 87102(312) 882-0432 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rebeccah Susanne Lyles Pmh-dnp NPPES

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

DR. REBECCAH SUSANNE LYLES PMH-DNP (NPI 1659066512) is an individual psychiatric/mental health provider in Albuquerque, New Mexico, licensed in New Mexico (56563) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1659066512
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. REBECCAH SUSANNE LYLESCredential: PMH-DNP
Location Address1608 5TH ST NWAlbuquerque, NM 87102-1302
Mailing Address1608 5th St NwAlbuquerque, NM 87102-1302 · (312) 882-0432
Phone(312) 882-0432
Sole ProprietorYes
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1659066512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · 56563
1608 5TH ST NW, Albuquerque, NM 87102
Open in Google Maps ↗

Secondary Practice Location 1

Location 15400 Gibson Blvd SEAlbuquerque, NM 87108-5566 · Phone (505) 254-4500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rebeccah Susanne Lyles Pmh-dnp 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 87102 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIND MEDICINE CLINIC LLC
Nurse Practitioner (Psychiatric/Mental Health)
1608 5TH ST NW
ALBUQUERQUE, NM 87102
Bernalillo County (312) 882-0432
KYLA HENDERSON MSW, LCSW
Social Worker (Clinical)
1608 5TH ST NW
ALBUQUERQUE, NM 87102
Bernalillo County (312) 882-0432

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 Rebeccah Lyles's NPI number?

The NPI number for Rebeccah Lyles is 1659066512. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Rebeccah Lyles located?

Rebeccah Lyles practices at 1608 5th St NW, Albuquerque, NM 87102. The listed phone number is (312) 882-0432.

What is Rebeccah Lyles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Rebeccah Lyles enrolled in Medicare?

Yes. Rebeccah Lyles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebeccah Lyles was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.