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LYDIA SPROUSE NP
NPI 1891453395
Nurse Practitioner - Family in Avon, CO

Active since December 01, 2021PECOS Enrolled
850 WEST BEAVER CREEK BLVD, AVON, CO 81620(970) 945-2840(970) 945-2893 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2023, Dec 1, 2021 (2 updates tracked since 2021).

About Lydia Sprouse Np NPPES

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

LYDIA SPROUSE NP (NPI 1891453395) is an individual family provider in Avon, Colorado, licensed in Colorado (APN.0997076-NP) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gypsum.

NPPES Registry Identity

NPI1891453395
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA SPROUSECredential: NP
Location Address850 WEST BEAVER CREEK BLVDAvon, CO 81620-9201
Mailing Address325 Price Ln # X1255Gypsum, CO 81637-5328
Phone(970) 945-2840
Fax(970) 945-2893
Sole ProprietorNo
Enumeration DateDecember 1, 2021
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1891453395 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 CO · APN.0997076-NP
850 WEST BEAVER CREEK BLVD, Avon, CO 81620
Open in Google Maps ↗

Secondary Practice Location 1

Location 1325 Price Ln # X1255Gypsum, CO 81637-5328 · Phone (970) 471-0875

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Sprouse Np 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lydia Sprouse reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain Family Health Centers
Same address
Federally Qualified Health Center (FQHC)
0850 WEST BEAVER CREEK BLVD
Avon, CO 81620
  • Reassigned Medicare billing, Colorado enrollment
  • 23 clinicians in this Medicare group
NPI 1548613409 (970) 945-2840
Peaks Medical PC
25 mi
Primary Care
956 W. ANEMONE TRAIL
Dillon, CO 80435
  • Reassigned Medicare billing, Colorado enrollment
  • 8 clinicians in this Medicare group
NPI 1528797065 (314) 308-7681
Peaks Urgent Care PC
25 mi
Urgent Care
956 W. ANEMONE TRAIL
Dillon, CO 80435
  • Reassigned Medicare billing, Colorado enrollment
  • 7 clinicians in this Medicare group
NPI 1023747649 (314) 308-7681

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81620 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

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

RACHEL L HICKMAN NP
Nurse Practitioner (Family)
850 WEST BEAVER CREEK BLVD
AVON, CO 81620
Eagle County (970) 945-2840

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 Lydia Sprouse's NPI number?

The NPI number for Lydia Sprouse is 1891453395. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Lydia Sprouse located?

Lydia Sprouse practices at 850 West Beaver Creek Blvd, Avon, CO 81620. The listed phone number is (970) 945-2840.

What is Lydia Sprouse's specialty?

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

Is Lydia Sprouse enrolled in Medicare?

Yes. Lydia Sprouse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lydia Sprouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Sprouse reassigns Medicare benefits to 3 organizations: Mountain Family Health Centers (Avon, CO), Peaks Medical PC (Dillon, CO) and Peaks Urgent Care PC (Dillon, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lydia Sprouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lydia Sprouse was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.