SAMANTHA JORDAN LYONS FNP-C
NPI 1669366407
Nurse Practitioner - Family in Greenwood Village, CO

Active since June 05, 2025PECOS EnrolledAccepts Medicare Assignment
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112(720) 644-9355 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Jun 23, 2025, Jun 5, 2025 (3 updates tracked since 2025).

About Samantha Jordan Lyons Fnp-c NPPES

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

SAMANTHA JORDAN LYONS FNP-C (NPI 1669366407) is an individual family provider in Greenwood Village, Colorado, licensed in Colorado (APN.1000867-NP) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1669366407
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JORDAN LYONSCredential: FNP-C
Location Address9250 E COSTILLA AVE STE 540Greenwood Village, CO 80112-3648
Mailing Address12230 Lioness WayParker, CO 80134-5603 · (719) 623-9286
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 5, 2025
Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1669366407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CO · APN.1000867-NP
Also ListedLong Term Care HospitalTaxonomy 282E00000X
9250 E COSTILLA AVE STE 540, Greenwood Village, CO 80112

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

Samantha Jordan Lyons Fnp-c 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 ID4486160256
PECOS Enrollment IDI20250718002260
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 80112 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Nurse Practitioner (Acute Care)
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112
Physician Assistant
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112
Physical Medicine & Rehabilitation
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112
Emergency Medicine
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112
Nurse Practitioner (Gerontology)
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112
Surgery
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112
Internal Medicine
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112
Nurse Practitioner
9250 E COSTILLA AVE STE 540
GREENWOOD VILLAGE, CO 80112

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 Samantha Lyons's NPI number?

The NPI number for Samantha Lyons is 1669366407. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Samantha Lyons located?

Samantha Lyons practices at 9250 E Costilla Ave Ste 540, Greenwood Village, CO 80112. The listed phone number is (720) 644-9355.

What is Samantha Lyons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Lyons enrolled in Medicare?

Yes. Samantha 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.

When was this NPI record last updated?

The NPPES record for Samantha Lyons was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.