MRS. AUTUMN N. LYDICK AGACNP-BC
NPI 1932680105
Nurse Practitioner - Acute Care in Conroe, TX

Active since August 27, 2018PECOS Enrolled
504 MEDICAL CENTER BLVD STE 300, CONROE, TX 77304(409) 749-4193 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 9, 2025, Aug 27, 2018 (2 updates tracked since 2018).

About Mrs. Autumn N. Lydick Agacnp-bc NPPES

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

MRS. AUTUMN N. LYDICK AGACNP-BC (NPI 1932680105) is an individual acute care provider in Conroe, Texas, licensed in Texas (AP138586) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932680105
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. AUTUMN N. LYDICKCredential: AGACNP-BC
Location Address504 MEDICAL CENTER BLVD STE 300Conroe, TX 77304-2808
Mailing Address3619 Clear Falls DrKingwood, TX 77339-1962 · (409) 749-4193
Sole ProprietorNo
Enumeration DateAugust 27, 2018
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1932680105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · AP138586
504 MEDICAL CENTER BLVD STE 300, Conroe, TX 77304

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Autumn N. Lydick Agacnp-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 77304 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

Internal Medicine (Pulmonary Disease)
504 MEDICAL CENTER BLVD STE 300
CONROE, TX 77304
Surgery (Vascular Surgery)
504 MEDICAL CENTER BLVD STE 300
CONROE, TX 77304

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 Autumn Lydick's NPI number?

The NPI number for Autumn Lydick is 1932680105. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Autumn Lydick located?

Autumn Lydick practices at 504 Medical Center Blvd Ste 300, Conroe, TX 77304. The listed phone number is (409) 749-4193.

What is Autumn Lydick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Autumn Lydick enrolled in Medicare?

Yes. Autumn Lydick is registered in the Medicare PECOS enrollment system.

What insurance does Autumn Lydick accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Autumn Lydick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autumn Lydick was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.