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MR. KENNETH RAY LYMAN FNP-BC
NPI 1841447174
Nurse Practitioner - Family in Rolla, MO

Active since August 18, 2008PECOS Enrolled
1050 W. 10TH STREET, SUITE 300, ROLLA, MO 65401(573) 364-9000(573) 426-3552 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Ray Lyman Fnp-bc NPPES

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

MR. KENNETH RAY LYMAN FNP-BC (NPI 1841447174) is an individual family provider in Rolla, Missouri, licensed in Missouri (2010033190) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841447174
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KENNETH RAY LYMANCredential: FNP-BC
Location Address1050 W. 10TH STREET, SUITE 300Rolla, MO 65401
Mailing Address1050 W. 10th Street, Suite 300Rolla, MO 65401 · (573) 364-9000 · Fax (573) 426-3552
Phone(573) 364-9000
Fax(573) 426-3552
Sole ProprietorNo
Enumeration DateAugust 18, 2008
Last NPPES UpdateMarch 27, 2012
✔ NPI 1841447174 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
Licenses✔ Licensed in MO · 2010033190✔ Licensed in WI · 3491-033
1050 W. 10TH STREET, Rolla, MO 65401
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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 (PECOS)

Mr. Kenneth Ray Lyman Fnp-bc 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 65401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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 Kenneth Lyman's NPI number?

The NPI number for Kenneth Lyman is 1841447174. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Kenneth Lyman located?

Kenneth Lyman practices at 1050 W. 10th Street Suite 300, Rolla, MO 65401. The listed phone number is (573) 364-9000.

What is Kenneth Lyman's specialty?

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

Is Kenneth Lyman enrolled in Medicare?

Yes. Kenneth Lyman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Lyman was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.