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RACHELE J LYONS CNP
NPI 1982084521
Nurse Practitioner - Family in Gregory, SD

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
110 S LOGAN AVE STE A, GREGORY, SD 57533(605) 835-9611(605) 835-8033 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rachele J Lyons Cnp NPPES

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

RACHELE J LYONS CNP (NPI 1982084521) is an individual family provider in Gregory, South Dakota, licensed in South Dakota (CP000954) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Avera Gregory Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982084521
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRACHELE J LYONSCredential: CNP
Location Address110 S LOGAN AVE STE AGregory, SD 57533-1614
Mailing Address110 S Logan Ave Ste AGregory, SD 57533-1614 · (605) 835-9611 · Fax (605) 835-8033
Phone(605) 835-9611
Fax(605) 835-8033
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 8, 2015
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1982084521 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 SD · CP000954
110 S LOGAN AVE STE A, Gregory, SD 57533
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica and more.Insurance ›

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

Rachele J Lyons Cnp 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 ID8921311929
PECOS Enrollment IDI20210707001405
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Avera Gregory Hospital

Critical Access Hospitals · Gregory, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431338
Location110 S Logan AveGregory, SD 57533 · Gregory County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57533 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims33 services$42.65 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$25.02 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims82 services$3.22 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
3 suppliers23 claims23 services$17.82 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$8.04 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers32 claims32 services$48.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MRS. MEGAN BLANCHE KNOLL PA-C
Physician Assistant
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
MELISSA BARTLING M.D.
Family Medicine
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
AVERA MCKENNAN
Clinic/Center
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
RICHARD L KAFKA M.D.
Family Medicine
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
SUSAN M HOGUE C.N.P
Nurse Practitioner (Family)
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
LISA A EVEN M.D.
Family Medicine
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611
MRS. MEGAN JO HEYDEN CNP
Nurse Practitioner (Family)
110 S LOGAN AVE STE A
GREGORY, SD 57533
Gregory County (605) 835-9611

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 Rachele Lyons's NPI number?

The NPI number for Rachele Lyons is 1982084521. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Rachele Lyons located?

Rachele Lyons practices at 110 S Logan Ave Ste A, Gregory, SD 57533. The listed phone number is (605) 835-9611.

What is Rachele Lyons's specialty?

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

Is Rachele Lyons enrolled in Medicare?

Yes. Rachele Lyons 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.

What insurance does Rachele Lyons accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Rachele Lyons 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.

Is Rachele Lyons affiliated with any hospitals?

According to CMS data, Rachele Lyons is affiliated with Avera Gregory Hospital.

When was this NPI record last updated?

The NPPES record for Rachele Lyons was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.