LOGAN SCOTT LYLE FNP
NPI 1831932219
Registered Nurse in Tupelo, MS

Active since June 14, 2024PECOS EnrolledAccepts Medicare Assignment
830 S GLOSTER ST, TUPELO, MS 38801(662) 377-3000 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Logan Scott Lyle Fnp NPPES

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

LOGAN SCOTT LYLE FNP (NPI 1831932219) is an individual registered nurse in Tupelo, Mississippi, licensed in Mississippi (915724) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1831932219
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameLOGAN SCOTT LYLECredential: FNP
Location Address830 S GLOSTER STTupelo, MS 38801-4996
Mailing Address830 S Gloster StTupelo, MS 38801-4996
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 14, 2024
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
NPI 1831932219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License Licensed in MS · 915724
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 907813 (MS)
830 S GLOSTER ST, Tupelo, MS 38801

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

Logan Scott Lyle Fnp 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 ID5294229415
PECOS Enrollment IDI20251215001396
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

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 Anesthetist, Certified Registered
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Emergency Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Internal Medicine
830 S GLOSTER ST
TUPELO, MS 38801
Thoracic Surgery (Cardiothoracic Vascular Surgery)
830 S GLOSTER ST, 4TH FLOOR EAST TOWER
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner (Family)
830 S GLOSTER ST
TUPELO, MS 38801
Nurse Practitioner
830 S GLOSTER ST
TUPELO, MS 38801

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 Logan Lyle's NPI number?

The NPI number for Logan Lyle is 1831932219. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Logan Lyle located?

Logan Lyle practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-3000.

What is Logan Lyle's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Logan Lyle enrolled in Medicare?

Yes. Logan Lyle 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.

Is Logan Lyle affiliated with any hospitals?

According to CMS data, Logan Lyle is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Logan Lyle was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.