MS. REBECCA SUEANN LYLE APRN
NPI 1669709630
Nurse Practitioner - Family in Augusta, GA

Active since November 11, 2009PECOS Enrolled
1120 15TH ST, AUGUSTA, GA 30912(706) 721-0211 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Rebecca Sueann Lyle Aprn NPPES

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

MS. REBECCA SUEANN LYLE APRN (NPI 1669709630) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN202480) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669709630
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. REBECCA SUEANN LYLECredential: APRN
Location Address1120 15TH STAugusta, GA 30912-0004
Mailing Address1499 Walton Way, Ste 1400Augusta, GA 30901-2602 · (706) 724-6100
Sole ProprietorNo
Enumeration DateNovember 11, 2009
Last NPPES UpdateSeptember 30, 2013
NPI 1669709630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN202480
1120 15TH ST, Augusta, GA 30912

Other Identifiers 4

Medicaid510900201AGA
MedicaidNP1790SC
Medicaid510900201BGA
Medicare PIN202I507232GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Rebecca Sueann Lyle Aprn 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 30912 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Family Medicine
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Nurse Practitioner (Family)
1120 15TH ST
AUGUSTA, GA 30912
Student in an Organized Health Care Education/Training Program
1120 15TH ST, 1065
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912
Pediatrics
1120 15TH ST
AUGUSTA, GA 30912
Internal Medicine
1120 15TH ST
AUGUSTA, GA 30912

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 Rebecca Lyle's NPI number?

The NPI number for Rebecca Lyle is 1669709630. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Rebecca Lyle located?

Rebecca Lyle practices at 1120 15th St, Augusta, GA 30912. The listed phone number is (706) 721-0211.

What is Rebecca Lyle's specialty?

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

Is Rebecca Lyle enrolled in Medicare?

Yes. Rebecca Lyle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Lyle was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.