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MS. CAROLYN LYON PA
NPI 1740779073
Physician Assistant in Ridgecrest, CA

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
1111 N CHINA LAKE BLVD STE 190, RIDGECREST, CA 93555(760) 499-3855(760) 499-3870 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 19, 2024, Jun 8, 2020, May 2, 2018 (3 updates tracked since 2018).

About Ms. Carolyn Lyon Pa NPPES

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

MS. CAROLYN LYON PA (NPI 1740779073) is an individual physician assistant in Ridgecrest, California, licensed in Georgia (8740) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740779073
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CAROLYN LYONCredential: PA
Location Address1111 N CHINA LAKE BLVD STE 190Ridgecrest, CA 93555-3131
Mailing Address1081 N China Lake BlvdRidgecrest, CA 93555-3130 · (760) 499-3899 · Fax (760) 499-3870
Phone(760) 499-3855
Fax(760) 499-3870
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMay 2, 2018
Last NPPES UpdateApril 19, 20243 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1740779073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 8740
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1111 N CHINA LAKE BLVD STE 190, Ridgecrest, CA 93555
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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

Ms. Carolyn Lyon Pa 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 ID7618220187
PECOS Enrollment IDI20230119002193
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 93555 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
Most-billed visit code 99213
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 14

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

KELLY ANN DOTY PA
Physician Assistant
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855
DR. KEVIN SEAN FLANIGAN MD
Internal Medicine
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855
DR. HANI CHAABO M.D.
Family Medicine
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855
DR. MARCIA A MICHALIK M.D.
Pediatrics
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855
JILL JOHNSTON AGACNP-BC
Nurse Practitioner
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855
MS. JOMARIE LITZINGER FNP
Nurse Practitioner (Family)
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855
CHARISE LAVONE LAVARREDA FNP
Nurse Practitioner (Family)
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855
JULIE DE JESUS
Nurse Practitioner (Family)
1111 N CHINA LAKE BLVD STE 190
RIDGECREST, CA 93555
Kern County (760) 499-3855

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 Carolyn Lyon's NPI number?

The NPI number for Carolyn Lyon is 1740779073. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Carolyn Lyon located?

Carolyn Lyon practices at 1111 N China Lake Blvd Ste 190, Ridgecrest, CA 93555. The listed phone number is (760) 499-3855.

What is Carolyn Lyon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carolyn Lyon enrolled in Medicare?

Yes. Carolyn Lyon 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 Carolyn Lyon was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.